Gonoblenorrhoea A54.3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Ophthalmoblenorrhoea

Definition
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Gonorrhoea of the eye. S.a.u. Blenorrhoea.

Etiopathogenesis
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Mostly infection with gonococcal secretions during the passage of the birth canal. The risk of infection of the mother is 30-50%. S.a.u. Blenorrhoea. Rarely infection due to lack of hygiene in adults. Risk of infection for doctors during vaginal examination of patients.

Manifestation
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Especially for newborns.

Clinical features
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Purulent conjunctivitis with possible keratitis. Edema of the eyelids. Opening of the eyelids becomes painfully impossible. Dripping out of yellow-green-creamy pus, large corneal ulcers, possible perforations.

Therapy
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Immediate treatment is important, as ulcerations of the cornea can occur within hours, leading to blindness.

External therapy
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In case of suspicion, immediate treatment with Gentamicin-containing topicals (e.g. Refobacin eye drops or ointment). Alternatively: Kanamycin sulfate (e.g. Kanamytrex eye drops or ointment), Erythromycin (e.g. Ecolicin eye drops or ointment). Application initial 4 times/hour to finally 1 time / hour, opening the eyelid, wiping and rinsing the eye and instilling several trps of the solution.

Internal therapy
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Cephalosporins such as ceftriaxone (e.g. rocephin) 25-50 mg/kg bw/day or cefotaxime (e.g. claforan) 2 times/day 25 mg/kg bw i.v.

Progression/forecast
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Risk of blindness.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020