 Attributes of pathogenicity. Some toxic
effects of antigens kill host cells.
 Clinical diseases
 Subtypes C
 cause a chronic keratoconjunctivitis (trachoma) that
can progress to conjunctival and corneal scarring and
blindness.
 are frequently accompanied by a concomitant
secondary bacterial infection.
 cause neonatal pneumonia.
 Subtypes K
 can be self-inoculated from genital secretions into the
eye, resulting in an inclusion conjunctivitis.
 Laboratory diagnosis is similar to that for
genital infections with this agent.
 Control. Treatment is with doxycycline or
erythromycin.
 causes gonococcal ophthalmia.
 is generally apparent in the first 5 days of
life; most often seen in babies born at home
without medical care and prophylaxis.
 is a hyperpurulent conjunctivitis.
 is rapidly destructive and, if not treated
promptly, leads to blindness.
 biotype aegyptius causes bacterial pinkeye
 is an epidemic, purulent conjunctivitis.
 occurs often in school-age children but also
spreads to adults.
 is the most common cause of otitis media in
infants older than 2 months of age.
 is treated with penicillin, although there are
resistant strains.
 is the second most common causative agent
of otitis media in children, after S
pneumoniae.
 often recurs, probably due to drug
resistance.
 is most commonly caused by
nonencapsulated strains.
 causes otitis externa (swimmer's ear•),
sometimes along with normal flora.
 causes malignant otitis externa, an invasive
pseudomonad infection that is generally
found in diabetic patients and may be life
threatening.

Eye and ear infections

  • 2.
     Attributes ofpathogenicity. Some toxic effects of antigens kill host cells.  Clinical diseases  Subtypes C  cause a chronic keratoconjunctivitis (trachoma) that can progress to conjunctival and corneal scarring and blindness.  are frequently accompanied by a concomitant secondary bacterial infection.  cause neonatal pneumonia.
  • 3.
     Subtypes K can be self-inoculated from genital secretions into the eye, resulting in an inclusion conjunctivitis.  Laboratory diagnosis is similar to that for genital infections with this agent.  Control. Treatment is with doxycycline or erythromycin.
  • 4.
     causes gonococcalophthalmia.  is generally apparent in the first 5 days of life; most often seen in babies born at home without medical care and prophylaxis.  is a hyperpurulent conjunctivitis.  is rapidly destructive and, if not treated promptly, leads to blindness.
  • 5.
     biotype aegyptiuscauses bacterial pinkeye  is an epidemic, purulent conjunctivitis.  occurs often in school-age children but also spreads to adults.
  • 6.
     is themost common cause of otitis media in infants older than 2 months of age.  is treated with penicillin, although there are resistant strains.
  • 7.
     is thesecond most common causative agent of otitis media in children, after S pneumoniae.  often recurs, probably due to drug resistance.  is most commonly caused by nonencapsulated strains.
  • 8.
     causes otitisexterna (swimmer's ear•), sometimes along with normal flora.  causes malignant otitis externa, an invasive pseudomonad infection that is generally found in diabetic patients and may be life threatening.