Page 1 of 2: Q: neonatal eye problem

determine · Credits: 3564 My Scrapbook

A full-term infant presents to your office at 7 days of age with bilateral purulent conjunctive discharge, erythema and swelling at the medial aspect of the eyes. Which one of the following is the most likely diagnosis?

1) Neisseria gonorrhoeae infection

2) herpes simplex infection

3) nasolacrimal duct inflammation due to Staphylococcus aureus

4) chemical irritation from eye oinment received at delivery

5) chlamydia infection

3 or 5? Chlamydia affects neonates on days 3-5. Dacryocystitis cause medial swelling. I think it is most likely 3. Any comments?

niyati2002 · Credits: 5492 My Scrapbook

purulent discharge rules out chlamydia & chemical irritation..

itz staph infection...go wth it..

determine · Credits: 3564 My Scrapbook

well if it is nasolac. duct inf, it is rather be unilateral. So I guess it is chlamydia?

sd04 · Credits: 4207 My Scrapbook My Reading List 9 Books

well i will go with Neisseria gonorrhoeae infection...

sd04 · Credits: 4207 My Scrapbook My Reading List 9 Books

because---gonococcal conjunctivitis; is bilateral, purulent; 2-5 days after birth

infection resulting from chlamydia may be watery early in the course and purulent later..........

nounay · Credits: 396 My Scrapbook

hi,,,, every body
it is chlamydial infection

amrmohammed · Credits: 130 My Scrapbook My Reading List 1 Books

PURULENT BILATERAL NEONATE =GONOCOCCI

parin · Credits: 14470 My Scrapbook My Reading List 1 Books

Well friends, it seems chlamydial infection..

Chemical conjuctivitis appears after a few hours of dilivery & lasts for 48 hours..

Gonococcal after 2-4 days & it is a rare cause now..

Inclusion ophthalmia neonatorum appears b/w 5-14 days of delivery & is c/b acute mucopurulent conjunctivitis, it may be fankly purulent & hyperacute..

So I favour chlamydia trachomatis..

mdali007 · Credits: 5763 My Scrapbook

The Answer is definately Neisseria gonorrhoeae infection !!!

The infant is reporting on the 7th day so it cant be 'chlamydia infection' cuz it occurs in 2nd week of birth ....
and the discharge being purlent it cant be 'herpes simplex infection' (even though it do occurs between 5-7days of birth) but its discharge is Serous ...
cant be 'chemical irritation from eye oinment received at delivery' cuz it occurs between 2hrs - 1day of birth ....
and as for 'nasolacrimal duct inflammation due to Staphylococcus aureus' never heard of it in neonates ...

so my answer is Neisseria gonorrhoeae infection

SACHET · Credits: 255 My Scrapbook

FACTS go more in favor of gonococcal infection (purulent discharge nd all)....as far as the occurence is concerned gonococcal has substantial prevalence in developing countries.........so it is gonococcal 4 me

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