Chlamydial Conjunctivitis (Adult Inclusion Conjunctivitis)

Chlamydial Conjunctivitis (Adult Inclusion Conjunctivitis)
SYMPTOMS Discharge | Discomfort | Blurry vision
SIGNS Tarsal follicles | Mucopurulent discharge | Preauricular lymphadenopathy | Corneal opacification and vascularization
Trachoma can cause an Arlt line
WORK-UP Thorough history and detailed slit lamp examination | Consider Giemsa stain
TREATMENT 1 g Azithromycin po (single dose) | Doxycycline 100mg po bid x 1 wk
FOLLOW-UP Weekly
ADDITIONAL LAB | TESTS Giemsa stain
ETIOLOGY Chlamydia trachomatis
DIFFERENTIAL DX Gonococcal conjunctivitis | Vernal keratoconjunctivitis
NOTES Sexual partner(s) should be notified and evaluated | Trachoma is caused by different Chlamydia trachomatis serotypes and is typically found in developing countries.

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