Gonorrheal conjunctivitis - Revision history

Rossdonaldson1 at 17:13, 4 February 2026

2026-02-04T17:13:52Z

← Older revision		Revision as of 17:13, 4 February 2026
Line 3:		Line 3:
	*Usually spread from genital-hand-eye contact in the young sexually active population		*Usually spread from genital-hand-eye contact in the young sexually active population
	*Neonates can acquire it from the birth canal		*Neonates can acquire it from the birth canal

			{{Conjunctivitis DDX}}

	==Clinical features==		==Clinical features==
Line 20:		Line 22:

	==Differential Diagnosis==		==Differential Diagnosis==
	{{~~Conjunctivitis~~ DDX}}		{{Unilateral red eye DDX}}
			{{Bilateral Red Eyes}}

	==Evaluation==		==Evaluation==

Rossdonaldson1 at 19:12, 26 September 2020

2020-09-26T19:12:45Z

← Older revision		Revision as of 19:12, 26 September 2020
Line 5:		Line 5:

	==Clinical features==		==Clinical features==
	[[File:Membranous conjunctivitis.jpg\|thumb\|Typical "membranous" conjunctivitis, seen with ~~gonorrhea~~.]]		[[File:Membranous conjunctivitis.jpg\|thumb\|Typical "membranous" conjunctivitis, seen with gonorrheal conjunctivitis.]]
	*Abrupt onset		*Abrupt onset
	*Copious purulent discharge (reforms quickly after wiping away)		*Copious purulent discharge (reforms quickly after wiping away)

Rossdonaldson1: /* Clinical features */

2020-09-26T18:23:48Z

Clinical features

← Older revision		Revision as of 18:23, 26 September 2020
Line 5:		Line 5:

	==Clinical features==		==Clinical features==
			[[File:Membranous conjunctivitis.jpg\|thumb\|Typical "membranous" conjunctivitis, seen with gonorrhea.]]
	*Abrupt onset		*Abrupt onset
	*Copious purulent discharge (reforms quickly after wiping away)		*Copious purulent discharge (reforms quickly after wiping away)

ClaireLewis at 16:51, 5 October 2019

2019-10-05T16:51:17Z

← Older revision		Revision as of 16:51, 5 October 2019
Line 1:		Line 1:
	==Background==		==Background==
	*Caused by Neisseria gonorrhoeae		*Caused by [[Neisseria gonorrhoeae]]
	*Usually spread from genital-hand-eye contact in the young sexually active population		*Usually spread from genital-hand-eye contact in the young sexually active population
	*Neonates can acquire it from the birth canal		*Neonates can acquire it from the birth canal

	==~~Work-Up~~==		==Clinical features==
	~~#Immediate staining for gram-negative diplococci~~		*Abrupt onset
	~~#Cultures for Neisseria~~		*Copious purulent discharge (reforms quickly after wiping away)
			*Marked conjunctival injection/chemosis
	~~==Evaluation==~~		*Lid swelling
	#Abrupt onset		*Globe tenderness through closed lids
	#Copious purulent discharge (reforms quickly after wiping away)		*Preauricular [[lymphadenopathy]]
	#Marked conjunctival injection/chemosis		*May or may not be associated with features of [[urethritis]]
	#Lid swelling
	#Globe tenderness through closed lids
	#Preauricular lymphadenopathy
	#May or may not be associated with ~~a urethral discharge.~~

	===Neonates===		===Neonates===
	*3-5 days postpartum		*3-5 days postpartum
	*Bilateral) discharge		*Bilateral discharge
	*May be localized to other organs (arthritis, meningitis, pneumonia) or may be disseminated		*May be localized to other organs ([[arthritis]], [[meningitis]], [[pneumonia]]) or may be disseminated

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Conjunctivitis DDX}}		{{Conjunctivitis DDX}}

			==Evaluation==
			*Gram staining for gram-negative diplococci
			*Cultures for Neisseria

	==Management==		==Management==
Line 29:		Line 29:

	*Eye irrigation (saline)		*Eye irrigation (saline)
	*Systemic antibiotics for ~~Gonorrhea~~		*Systemic [[antibiotics]] for [[gonorrhea]]
	*Urgent referral to ophtho		*Urgent referral to ophtho

	==Disposition==		==Disposition==
	#Infant=Admit?		*Infant=Admit?
	#Adult=Discharge		*Adult=Discharge
	##Unless evidence of complication or immunodeficiency		**Unless evidence of complication or immunodeficiency

	==Complications==		===Complications===
	#Ulceration		*Ulceration
	#Perforation		*Perforation

	==See Also==		==See Also==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T08:37:22Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 08:37, 22 July 2016
Line 8:		Line 8:
	#Cultures for Neisseria		#Cultures for Neisseria

	==~~Diagnosis~~==		==Evaluation==
	#Abrupt onset		#Abrupt onset
	#Copious purulent discharge (reforms quickly after wiping away)		#Copious purulent discharge (reforms quickly after wiping away)

Rossdonaldson1: Text replacement - "PNA" to "pneumonia"

2016-07-18T16:31:15Z

Text replacement - "PNA" to "pneumonia"

← Older revision		Revision as of 16:31, 18 July 2016
Line 20:		Line 20:
	*3-5 days postpartum		*3-5 days postpartum
	*Bilateral) discharge		*Bilateral) discharge
	*May be localized to other organs (arthritis, meningitis, ~~PNA~~) or may be disseminated		*May be localized to other organs (arthritis, meningitis, pneumonia) or may be disseminated

	==Differential Diagnosis==		==Differential Diagnosis==

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-07T08:39:46Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 08:39, 7 July 2016
Line 25:		Line 25:
	{{Conjunctivitis DDX}}		{{Conjunctivitis DDX}}

	==~~Treatment~~==		==Management==
	{{Bacterial Conjunctivitis Antibiotics}}		{{Bacterial Conjunctivitis Antibiotics}}

Neil.m.young: Text replacement - "==Source==" to "==References== "

2016-06-26T05:39:06Z

Text replacement - "==Source==" to "==References== <references/>"

← Older revision		Revision as of 05:39, 26 June 2016
Line 45:		Line 45:
	*[[Sexually Transmitted Diseases (STD)]]		*[[Sexually Transmitted Diseases (STD)]]

	==~~Source~~==		==References==
			<references/>
	Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.		Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.

	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]
	[{Category:ID]]		[{Category:ID]]

Ostermayer: Text replacement - "Category:Ophtho" to "Category:Ophthalmology"

2016-03-22T15:43:45Z

Text replacement - "Category:Ophtho" to "Category:Ophthalmology"

← Older revision		Revision as of 15:43, 22 March 2016
Line 48:		Line 48:
	Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.		Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55.

	[[Category:~~Ophtho~~]]		[[Category:Ophthalmology]]
	[{Category:ID]]		[{Category:ID]]

Rossdonaldson1: /* Treatment */

2015-01-26T18:03:05Z

Treatment

← Older revision		Revision as of 18:03, 26 January 2015
Line 26:		Line 26:

	==Treatment==		==Treatment==
	#Eye irrigation (saline)		{{Bacterial Conjunctivitis Antibiotics}}
	~~#Topical antibiotics~~
	~~##same as for [[Bacterial Conjunctivitis]]~~		*Eye irrigation (saline)
	#Systemic antibiotics for Gonorrhea		*Systemic antibiotics for Gonorrhea
	#Urgent referral to ophtho		*Urgent referral to ophtho

	==Disposition==		==Disposition==