Congiuntivite da inclusioni nel neonato e nell’adulto
Table of Contents
Che cos’è la congiuntivite da inclusioni?
La congiuntivite da inclusioni è un infezione dell’occhio causata da” Clamydia trachomatis” che consiste in inclusioni intracitoplasmatiche osservabili negli strisci dell’essudato congiuntivale. Negli adulti le infezioni genito-urinarie da clamydia sono trasmesse per contatto sessuale e l’occhio può essere infettato dal contatto delle secrezioni genito-urinarie contaminate.Nel neonato(Oftalmoblenorrea) quando, le vie genito-urinarie della madre sono infette, il germe può essere trasmesso al neonato e provocare una congiuntivite che assomiglia allo gonococcica neonatale ma il periodo di incubazione è più lungo (15- 12 giorni). La malattia può anche essere trasmessa dall’acqua contaminata delle piscine. Si osserva sporadicamente nel mondo intero.
Come si manifesta la congiuntivite da inclusioni ?
La forma neonatalecomportasecrezione purulentae generalmente risultabilaterale. Si distingue dalla forma gonococcica per l’esordio più tardivo rispetto alla nascita anche se il quadro clinico è simile, come la presenza di palpebre tumefatte ed edematose, mucosa congiuntivale iperemica, secrezioni abbondanti e purulente.
Nell’adultola sintomatologia si basa susecrezione purulenta monolaterale, iperemia tarsale e bulbare con la presenta di una risposta follicolare. Occasionalmente possono comparire opacità corneali superiori.
Terapia
Si somministrano antibiotici come tetraciclina, doxiciclina ed eritromicina o le più recenti azitromicinaeofloxacina. Le preparazioni oftalmiche sono inefficaci nella congiuntivite dell’adulto, mentre nel neonato lapomata oftalmica alla clortetraciclinaè il trattamento di scelta.
Leggi anche:
- Congiuntivite
- Uveite: infiamazione dell’uvea
- Calazio: sintomi, terapia
- Cheratocono: che cos’è e come si cura
- COLBIOCIN ® Cloramfenicolo, Colistimetato e Tetraciclina
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