A 1 month old neonate presents with respiratory distress, nasopharyngitis, and infiltrates on XR. He also had b/l conjunctivitis at 10 days of life. Eye culture shows bacteria but no gram stain. What organism?
Chlamydia. conjunctivitis bt 5-14 days. Most common cause of conjunctivitis within 1 month age. Treat with oral erythromycin x 14d for conjunctivitis or pneumonia (assoc between erythromycin and pyloric stenosis)
A neonate presents at 3 days with b/l purulent conjunctivitis. Eye culture shows gram negative intracellular diplococci in pairs. What is the treatment and what other diagnosis needs to be done?
Gonorrhea 2-5 days. Ceftriaxone x 1 and frequent normal saline irrigation (add more days for disseminated infx. Also evaluate for chlamydia (so common) and consider adding erythromycin
Diagnosis: evaluate blood, skin lesion, CSF (LP if unwell) using Thayer-Martin growth medium - must plate quickly for adequate growth
