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GonoblenorrhoeaA54.3
Synonym(s)
Ophthalmoblenorrhoea
DefinitionThis section has been translated automatically.
Gonorrhoea of the eye. S.a.u. Blenorrhoea.
EtiopathogenesisThis section has been translated automatically.
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.
ManifestationThis section has been translated automatically.
Especially for newborns.
Clinical featuresThis section has been translated automatically.
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.
TherapyThis section has been translated automatically.
Immediate treatment is important, as ulcerations of the cornea can occur within hours, leading to blindness.
External therapyThis section has been translated automatically.
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 therapyThis section has been translated automatically.
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/forecastThis section has been translated automatically.
Risk of blindness.