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Emergency: requires immediate attention
Gonococcal conjunctivitis - External and Internal Eye
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Emergency: requires immediate attention

Gonococcal conjunctivitis - External and Internal Eye

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Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
Other Resources UpToDate PubMed

Synopsis

Gonococcal conjunctivitis, caused by Neisseria gonorrhoeae, occurs in 2 distinct groups: neonates and sexually active adults. Transmission usually occurs by contact with infected urine or genital secretions. The disease presents as a hyperacute follicular conjunctivitis with lid edema, chemosis, hyperemia, and copious mucopurulent discharge. In neonates, the infection usually begins 24-48 hours after birth but may take slightly longer. In adults, the incubation period is 2-7 days. In both, rapid diagnosis and treatment is essential to avoid severe complications.

Codes

ICD10CM:
A54.31 – Gonococcal conjunctivitis

SNOMEDCT:
231858009 – Gonococcal conjunctivitis

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

For neonates:
  • Chemical conjunctivitis, herpes simplex virus conjunctivtis, and chlamydial conjunctivitis.
  • Rapid diagnosis and, hence, treatment is critical to avoid severe and possibly blinding complications.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated: 11/12/2013
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Emergency: requires immediate attention
Gonococcal conjunctivitis - External and Internal Eye
Print 5 Images
View all Images (5)
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Gonococcal conjunctivitis (Adult) : Developed acutely over days to weeks, Periorbital edema, Sclera/bulbar conjunctiva hemorrhage, Hypopyon, Chemosis, Mucopurulent eye discharge
Clinical image of Gonococcal conjunctivitis
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