Chlamydia conjunctivitis: Difference between revisions

Revision as of 07:33, 18 August 2015

Background

Two types:
- Trachoma
  - Serotypes A through C
  - Chronic keratoconjunctivitis
  - Most common form of preventable blindness in the world
Inclusion conjunctivitis
- Serotypes D through K
- Common, primarily sexually transmitted disease
- Affects both newborns and adults

Clinical Features

Newborns

Tearing
Conjunctival inflammation
Eyelid swelling
Moderate discharge
Starting 5-12 days after birth

Adults

Infection can be subacute or chronic
Most common in young, sexually active persons aged 18 to 30 years
Unilateral or bilateral redness
Foreign body sensation
Mucopurulent discharge
Pre-auricular adenopathy

Differential Diagnosis

Conjunctivitis Types

Diagnosis

Management

Adult

Systemic antibiotics
Azithromycin 1g PO x1
Topical antibiotics
- Topical erythromycin ointment BID-TID x2-3 weeks
Consider ceftriaxone for empiric gonorrhea coverage

Neonatal

Inclusion conjunctivitis

Systemic antibiotics
- Erythromycin elixir 50 mg/kg/d divided QID
Topical antibiotics
- Erythromycin ointment QID
Consultation with ophthalmology
- Special cultures may be required

Disposition

Discharge with ophtho follow-up.

References

Authors:

@@ Line 1: / Line 1: @@
 ==Background==
-#Two types:
+*Two types:
-##Trachoma
+**Trachoma
-###Serotypes A through C
+***Serotypes A through C
-###Chronic keratoconjunctivitis
+***Chronic keratoconjunctivitis
-###Most common form of preventable blindness in the world
+***Most common form of preventable blindness in the world
-#Inclusion conjunctivitis
+*Inclusion conjunctivitis
-##Serotypes D through K
+**Serotypes D through K
-##Common, primarily sexually transmitted disease
+**Common, primarily sexually transmitted disease
-##Affects both newborns and adults
+**Affects both newborns and adults
-==Diagnosis==
+==Clinical Features==
 ===Newborns===
-#Tearing
+*Tearing
-#Conjunctival inflammation
+*Conjunctival inflammation
-#Eyelid swelling
+*Eyelid swelling
-#Moderate discharge
+*Moderate discharge
-#Starting 5-12 days after birth
+*Starting 5-12 days after birth
 ===Adults===
-#Infection can be subacute or chronic
+*Infection can be subacute or chronic
-#Most common in young, sexually active persons aged 18 to 30 years
+*Most common in young, sexually active persons aged 18 to 30 years
-#Unilateral or bilateral redness
+*Unilateral or bilateral redness
-#Foreign body sensation
+*Foreign body sensation
-#Mucopurulent discharge
+*Mucopurulent discharge
-#Preauricular adenopathy
+*Pre-auricular adenopathy
 ==Differential Diagnosis==
 {{Conjunctivitis DDX}}
-==Treatment==
+==Diagnosis==
+*
+==Management==
 ===Adult===
-#Systemic antibiotics
+*Systemic antibiotics
-#Azithromycin 1g PO x 1
+*Azithromycin 1g PO x1
-#Topical antibiotics
+*Topical antibiotics
-##Topical erythromycin ointment BID-TID x 2-3 weeks
+**Topical erythromycin ointment BID-TID x2-3 weeks
-#Consider CFTX for empiric gonorrhea coverage
+*Consider ceftriaxone for empiric gonorrhea coverage
-#Follow-up with ophtho within 1 week
 ===Neonatal===
 Inclusion conjunctivitis
-#Systemic antibiotics
+*Systemic antibiotics
-##Erythromycin elixir 50 mg/kg/d divided QID
+**Erythromycin elixir 50 mg/kg/d divided QID
-#Topical antibiotics
+*Topical antibiotics
-##Erythromycin ointment QID
+**Erythromycin ointment QID
-#Consultation with ophthalmology
+*Consultation with ophthalmology
-##Special cultures may be required
+**Special cultures may be required
+==Disposition==
+*Discharge with ophtho follow-up.
 ==See Also==
 [[Conjunctivitis]]
-==Source==
+==References==
-*Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.
+<References/>
 [[Category:Ophtho]]
 [[Category:ID]]