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Ophthalmia Neonatorum Caused by β-Lactamase— Producing Neisseria gonorrhoeae
Brinda Doraiswamy, MD;
Margaret R. Hammerschlag, MD;
George F. Pringle, MS;
Lorraine du Bouchet
JAMA. 1983;250(6):790-791.
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ALTHOUGH infections caused by penicillinase-producing strains of Neisseria gonorrhoeae have been increasing since 1976,1,2 to our knowledge, there has been to date only one case of ophthalmia neonatorum caused by penicillinase-producing strains of N gonorrhoeae in the United States.3 A second case of ophthalmia neonatorum caused by penicillinase-producing strains of N gonorrhoeae occurred in a 4-day-old female neonate, who was successfully treated with cefotaxime sodium.
Report of a Case
A 1,940-g female neonate was born on Sept 11, 1982, to a 34-year-old, para 3, gravida 2, woman by normal spontaneous vaginal delivery at Kings County Hospital, Brooklyn, NY. Apgar scores were 9 at one minute and 10 at five minutes. Estimated gestational age was 36 to 37 weeks. Routine ocular prophylaxis with 1% silver nitrate was given in the delivery room. On the third day of life, the neonate had a copious bilateral conjunctival discharge. Cultures from the
. . . [Full Text PDF of this Article]
Author Affiliations
From the Departments of Pediatrics (Drs Doraiswamy and Hammerschlag), Pathology (Mr Pringle), and Medicine (Ms du Bouchet), Downstate Medical Center, Brooklyn, NY.
Footnotes
Reprint requests to Department of Pediatrics, Box 49, Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203 (Dr Hammerschlag).
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