Gonorrheal conjunctivitis: Difference between revisions
(→DDx) |
|||
Line 22: | Line 22: | ||
*May be localized to other organs (arthritis, meningitis, PNA) or may be disseminated | *May be localized to other organs (arthritis, meningitis, PNA) or may be disseminated | ||
== | ==Differential Diagnosis== | ||
{{Conjunctivitis DDX}} | |||
==Treatment== | ==Treatment== |
Revision as of 15:47, 26 January 2015
Background
- Caused by Neisseria gonorrhoeae
- Usually spread from genital-hand-eye contact in the young sexually active population
- Neonates can acquire it from the birth canal
Work-Up
- Immediate staining for gram-negative diplococci
- Cultures for Neisseria
Diagnosis
- Abrupt onset
- Copious purulent discharge (reforms quickly after wiping away)
- Marked conjunctival injection/chemosis
- Lid swelling
- Globe tenderness through closed lids
- Preauricular lymphadenopathy
- May or may not be associated with a urethral discharge.
Neonates
- 3-5 days postpartum
- Bilateral) discharge
- May be localized to other organs (arthritis, meningitis, PNA) or may be disseminated
Differential Diagnosis
Conjunctivitis Types
Treatment
- Eye irrigation (saline)
- Topical antibiotics
- same as for Bacterial Conjunctivitis
- Systemic antibiotics for Gonorrhea
- Urgent referral to ophtho
Disposition
- Infant=Admit?
- Adult=Discharge
- Unless evidence of complication or immunodeficiency
Complications
- Ulceration
- Perforation
See Also
Source
Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin N Am. 2008;26:35-55. [{Category:ID]]