Chlamydia conjunctivitis: Difference between revisions

(Text replacement - "0 mg" to "0mg")
No edit summary
(2 intermediate revisions by 2 users not shown)
Line 3: Line 3:
**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
Line 29: Line 29:
{{Conjunctivitis DDX}}
{{Conjunctivitis DDX}}


==Diagnosis==
==Evaluation==
*
*


Line 35: Line 35:
===Adult===
===Adult===
*Systemic antibiotics
*Systemic antibiotics
*Azithromycin 1g PO x1  
*[[Azithromycin]] 1g PO x1  
*Topical antibiotics
*Topical antibiotics
**Topical erythromycin ointment BID-TID x2-3 weeks
**Topical [[erythromycin]] ointment BID-TID x2-3 weeks
*Consider ceftriaxone for empiric gonorrhea coverage
*Consider [[ceftriaxone]] for empiric gonorrhea coverage


===Neonatal===
===Neonatal===
Inclusion conjunctivitis
Inclusion conjunctivitis
*Systemic antibiotics
*Systemic antibiotics
**Erythromycin elixir 50mg/kg/d divided QID  
**[[Erythromycin]] elixir 50mg/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

Revision as of 16:19, 5 October 2019

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

Evaluation

Management

Adult

Neonatal

Inclusion conjunctivitis

  • Systemic antibiotics
  • Topical antibiotics
  • Consultation with ophthalmology
    • Special cultures may be required

Disposition

  • Discharge with ophtho follow-up.

See Also

Conjunctivitis

References