Tip 222: gonococcal conjunctivitis

This usually presents with bilateral, profuse, purulent discharge from the conjunctiva in the first 24 hours of life, though it can present later.

The cornea can be severely damaged if treatment is not started quickly, therefore do not wait for swab culture results.

Reference: Rennie & Roberton’s Textbook of Neonatology, 5th Ed, 2005. London: Churchill.

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