7 days of age with bilateral purulent conjunctiv - mcccq

[ArchivalUser]

A full-term infant presents to your office at 7 days of age with bilateral purulent
conjunctive discharge, erythema and swelling at the medial aspect of the eyes.
Which one of the following is the most likely diagnosis?
1) Neisseria gonorrhoeae infection
2) herpes simplex infection
3) nasolacrimal duct inflammation due to Staphylococcus aureus
4) chemical irritation from eye oinment received at delivery
5) chlamydia infection

[ArchivalUser]

5555

[ArchivalUser]

tricky...!! bilateral : bacterial infection 1 or 5?

[ArchivalUser]

555

[ArchivalUser]

Ans is 1. gonococcal. b'coz purulent discharge.

if it was chlamydial, the discharge should have been mucoid.. correct me if i m wrong..

thx

[ArchivalUser]

555, the time frame tell us.

[ArchivalUser]

5..........> 5 days......longer incubation period for chlamydia.........rx oral erythro or azithro

for GC leading to ophthalmia neonatrum.........2nd to 5 th day

[ArchivalUser]

5555