Chlamydial conjunctivitis

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Vertical transmission

Presentation

  • 5-14 days after birth
  • Chemosis, eyelid swelling, discharge

Associations

Chlamydial pneumonia presents at age 4 -12 weeks

Prevention

  • Maternal testing and treatment
  • Screening at first prenatal visit
  • Repeat screening in the third trimester for women age <25 or if at high risk for infection

Treatment

Oral erithromycin in spite of the risk of pyloric stenosis

Differential diagnosis

Gonococcal conjunctivitis (ophthalmia neonatorum): 2-5 days after birth