tailieunhanh - báo cáo khoa học:"Chlamydial conjunctivitis presenting as pre septal cellulitis"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Chlamydial conjunctivitis presenting as pre septal cellulitis | Head Face Medicine BioMed Central Open Access Chlamydial conjunctivitis presenting as pre septal cellulitis Suzannah R Drummond and Charles JM Diaper Address Department of Ophthalmology Southern General Hospital Glasgow Scotland. UK Email Suzannah R Drummond - drummond@ Charles JM Diaper - Corresponding author Published 14 March 2007 Received 12 July 2006 . . I Accepted 14 March 2007 Head Face Medicine 2007 3 16 doi 1746-160X-3-16 This article is available from http content 3 1 16 2007 Drummond and Diaper licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Chlamydia conjuctivitis results from infection by chlamydia trachomatis the commonest treatable sexually transmitted infection in Europe. Its clinical manifestations involve the conjunctiva and the cornea. The inflammation under the upper eyelid may be sufficient to present as ptosis however previously it has not been documented to cause a preseptal cellulitis. We present such a case. A 15-year-old girl was diagnosed with a left viral conjunctivitis. Five days later she returned with marked oedema of the left upper and lower lids accompanied by erythema. The tarsal conjunctiva revealed follicles and large papillae and extra ocular movements revealed discomfort on elevation. A secondary diagnosis of bacterial pre septal cellulitis was made and the treatment was changed a broad spectrum oral antibiotic. On review at two days the patient now complained of a large amount of purulent discharge in association with the marked pre septal swelling. As previous bacteriology and virology had been negative the patient was re swabbed for chlamydia. This proved positive and her symptoms .