09Conjunctival Infections (1)

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  1. Bacterial ã  Simple bacterial conjunctivitis ã  Gonococcal keratoconjunctivitis 2. Viral ã  Adenoviral keratoconjunctivitis ã  Molluscum contagiosum conjunctivitis ã  Herpes simplex conjunctivitis ã  Adult chlamydial keratoconjunctivitis ã  Neonatal chlamydial conjunctivitis ã  Trachoma 3. Chlamydial CONJUNCTIVAL INFECTIONS  Simple bacterial conjunctivitis Crusted eyelids and conjunctival injection Subacute onset of mucopurulent discharge Treatment  - broad-spectrum topical antibiotics Signs  Gonococcal keratoconjunctivitis Treatment Acute, profuse, purulent discharge, hyperaemia and chemosis Corneal ulceration, perforation and endophthalmitis if severe ã  Topical gentamicin and bacitracin ã  Intravenous cefoxitin or cefotaxime Signs Complications  Adenoviral Keratoconjunctivitis 1. Pharyngoconjunctival fever ã  Adenovirus types 3 and 7 ã  Typically affects children 2. Epidemic keratoconjunctivitis ã  Upper respiratory tract infection ã  Keratitis in 30% - usually mild ã  Adenovirus types 8 and 19 ã  Very contageous ã  No systemic symptoms ã  Keratitis in 80% of cases - may be severe

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