Severe neonatal chlamydial conjunctivitis with unilateral corneal perforation after unattended home delivery in rural Ethiopia

<em>Background</em>. Neonatal chlamydial conjunctivitis is an easily preventable, though still highly prevalent infectious disease in low-income countries and if left untreated it is associated with major local and systemic complications that threat new-borns’ health. <br /><em&...

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Main Authors: Lorenzo Cirri, Abel Hailu, Frank Riedel
Format: Article
Language:English
Published: PAGEPress Publications 2017-03-01
Series:Microbiologia Medica
Subjects:
Online Access:http://www.pagepressjournals.org/index.php/mm/article/view/6459
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author Lorenzo Cirri
Abel Hailu
Frank Riedel
author_facet Lorenzo Cirri
Abel Hailu
Frank Riedel
author_sort Lorenzo Cirri
collection DOAJ
description <em>Background</em>. Neonatal chlamydial conjunctivitis is an easily preventable, though still highly prevalent infectious disease in low-income countries and if left untreated it is associated with major local and systemic complications that threat new-borns’ health. <br /><em>Case presentation.</em> We present two cases of severe neonatal chlamydial conjunctivitis with unilateral corneal involvement in new-born children, after unattended home deliveries in rural Ethiopia. Despite antibiotic treatment, in one case, surgical corneal repair was necessary in order to avoid excessive scarring and subsequent unilateral blindness of the child. <br /><em>Conclusions</em>. As the presence of an ophthalmologist in sub-Saharan Africa is very rare, many children in the same condition may become blind due to lack of trained surgeons. For these reasons, screening programmes for sexually transmitted infections in pregnant women with suspect vaginal discharge should be implemented by local authorities; as well as local prophylaxis with tetracyclin eye-ointment being made available in rural communities.
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spelling doaj.art-5eaf3651b3704e10b3b7d66b870167ea2022-12-22T01:23:35ZengPAGEPress PublicationsMicrobiologia Medica2280-64232017-03-0132110.4081/mm.2017.64595196Severe neonatal chlamydial conjunctivitis with unilateral corneal perforation after unattended home delivery in rural EthiopiaLorenzo Cirri0Abel Hailu1Frank Riedel2Arsi University, AsellaDepartment of Paediatrics and Child Health, Asella Teaching Hospital, Arsi University, AsellaDepartment of Paediatrics and Child Health, Asella Teaching Hospital, Arsi University, Asella<em>Background</em>. Neonatal chlamydial conjunctivitis is an easily preventable, though still highly prevalent infectious disease in low-income countries and if left untreated it is associated with major local and systemic complications that threat new-borns’ health. <br /><em>Case presentation.</em> We present two cases of severe neonatal chlamydial conjunctivitis with unilateral corneal involvement in new-born children, after unattended home deliveries in rural Ethiopia. Despite antibiotic treatment, in one case, surgical corneal repair was necessary in order to avoid excessive scarring and subsequent unilateral blindness of the child. <br /><em>Conclusions</em>. As the presence of an ophthalmologist in sub-Saharan Africa is very rare, many children in the same condition may become blind due to lack of trained surgeons. For these reasons, screening programmes for sexually transmitted infections in pregnant women with suspect vaginal discharge should be implemented by local authorities; as well as local prophylaxis with tetracyclin eye-ointment being made available in rural communities.http://www.pagepressjournals.org/index.php/mm/article/view/6459Eye infectionsGlobal healthConjunctivaCorneaSTI
spellingShingle Lorenzo Cirri
Abel Hailu
Frank Riedel
Severe neonatal chlamydial conjunctivitis with unilateral corneal perforation after unattended home delivery in rural Ethiopia
Microbiologia Medica
Eye infections
Global health
Conjunctiva
Cornea
STI
title Severe neonatal chlamydial conjunctivitis with unilateral corneal perforation after unattended home delivery in rural Ethiopia
title_full Severe neonatal chlamydial conjunctivitis with unilateral corneal perforation after unattended home delivery in rural Ethiopia
title_fullStr Severe neonatal chlamydial conjunctivitis with unilateral corneal perforation after unattended home delivery in rural Ethiopia
title_full_unstemmed Severe neonatal chlamydial conjunctivitis with unilateral corneal perforation after unattended home delivery in rural Ethiopia
title_short Severe neonatal chlamydial conjunctivitis with unilateral corneal perforation after unattended home delivery in rural Ethiopia
title_sort severe neonatal chlamydial conjunctivitis with unilateral corneal perforation after unattended home delivery in rural ethiopia
topic Eye infections
Global health
Conjunctiva
Cornea
STI
url http://www.pagepressjournals.org/index.php/mm/article/view/6459
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AT frankriedel severeneonatalchlamydialconjunctivitiswithunilateralcornealperforationafterunattendedhomedeliveryinruralethiopia