Ophthalmia neonatorum in Nairobi, Kenya: the roles of Neisseria gonorrhoeae and Chlamydia trachomatis
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Date
1986-05Author
Fransen, L
Nsanze, H
Klauss, V
Van, der Stuyft P
D'Costa, L
Brunham, RC
Piot, P
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Among 149 consecutive infants with ophthalmia neonatorum in Nairobi, Neisseria gonorrhoeae was recovered from 43%, Chlamydia trachomatis from 13%, and both microorganisms from 4%. Three of five isolates of C. trachomatis belonged to trachoma serovars. The sensitivity and specificity of a gram-stained smear for the diagnosis of gonococcal conjunctivitis were 86% and 90%, respectively. Patients with gonococcal conjunctivitis had more purulent discharge, a higher clinical severity score, and a younger age at onset of disease. Corneal epithelial edema with superficial keratitis was present in four (16%) of 25 patients with gonococcal conjunctivitis but in none of 22 other patients (P = .07). N. gonorrhoeae or C. trachomatis was isolated from the pharynx in 11 (15%) and six (23%) cases, respectively. Oropharyngeal gonococcal infection was associated with coughing (P = .007).
URI
http://www.ncbi.nlm.nih.gov/pubmed/3084664http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/31151
Citation
J Infect Dis. 1986 May;153(5):862-9.Publisher
University of Nairobi, Department of Medicine
Collections
- Faculty of Health Sciences (FHS) [10378]