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[Persistent, therapy-resistant conjunctivitis: consider infection with Chlamydia trachomatis]
Nederlands Tijdschrift Voor Geneeskunde
|April 27, 2017
Summary
Persistent conjunctivitis in older adults can be a sign of chlamydia infection. Early diagnosis and treatment with azithromycin are crucial, even in elderly patients, to prevent complications.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Conjunctivitis is common, often viral, but chlamydial infections can be overlooked.
- Chlamydial conjunctivitis in the elderly may present atypically, leading to delayed diagnosis.
Observation:
- Two elderly patients presented with persistent, therapy-resistant conjunctivitis.
- One patient exhibited conjunctival follicles, a potential indicator of chlamydial infection.
Findings:
- Polymerase chain reaction (PCR) tests confirmed chlamydia in conjunctival samples from both patients.
- Both patients and their sexual partners responded to oral azithromycin treatment.
Implications:
- Chlamydial conjunctivitis should be considered in persistent, therapy-resistant cases, regardless of patient age.
- Prompt diagnosis and treatment are essential to avoid complications associated with chlamydial infections.
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