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Published on: September 20, 2018
[Newborn chronic follicular conjunctivitis]
N Ruiz-del-Río1, S Rodríguez-Prado, E Martínez-Ormaechea
1Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España. noeruizdelrio@yahoo.es
Insights
A rare case of infant conjunctivitis caused by Chlamydia trachomatis was successfully treated with erythromycin. Early diagnosis using polymerase chain reaction (PCR) is crucial for preventing complications.
Area of Science:
- Ophthalmology
- Pediatrics
- Infectious Diseases
Background:
- Chronic follicular conjunctivitis is uncommon in infants.
- Chlamydia trachomatis is a common cause of neonatal conjunctivitis but typically presents differently.
- Ocular infections in infants require prompt diagnosis and management.
Observation:
- A case of infant conjunctivitis with ptosis and dacryorrhea is presented.
- Polymerase chain reaction (PCR) confirmed Chlamydia trachomatis as the causative agent.
- The infant likely acquired the infection during delivery.
Findings:
- The patient was treated with topical and systemic erythromycin.
- Successful treatment of Chlamydia trachomatis-induced conjunctivitis in an infant.
- PCR proved to be a sensitive and specific diagnostic tool.
Implications:
- Highlights the importance of considering Chlamydia trachomatis in atypical infant conjunctivitis presentations.
- Emphasizes the need for early diagnosis and treatment to prevent chronic complications.
- Suggests screening and treatment of carriers to prevent transmission and disease in infants.
Case Report:
A case of chronic follicular conjunctivitis in an infant presenting with ptosis and dacryorrhea is reported. Polymerase chain reaction (PCR) test identified Chlamydia trachomatis as the causative agent. The patient was treated with topic and systemic erythromycin. The infection was probably transmitted during delivery.
Discussion:
Chronic follicular conjunctivitis in infants is very uncommon in our environment. The most sensitive and specific diagnostic test is PCR. It is necessary to identify the original focus of infection and to provide specific treatment to all the carriers as soon as possible to avoid and prevent chronic complications.
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