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Ophthalmia Neonatorum
- Chlamydia
trachomatis infection in neonate
- develops in infants around 14 days after birth
- appears in 1/2 infants born through infected cervix
- follicles rarely seen
Clinical Features
- swelling of the eyelids and orbit
- hyperaemia
- purulent infiltration of conjunctiva
- does not respond to chloramphenicol / cleansing
Investigation
- conjunctival swab (after pus removed)
Course
- resolves spontaneously
- 6 weeks later
- chlamydial pneumonia
- mild
- atypical
- insidious onset
- marked X-ray changes
Treatment
- erythromycin 7 days
- eliminates nasopharyngeal carriage
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