Question

A 1-week-old newborn girl returned for a pediatric appointment due to an apparent eye infection. On physical examination the newborn presented with profuse eye drainage and swollen eyelids. She was born via vaginal delivery at 39 weeks and discharged with the mother on day 2 of life. The mother refuse a topical prophylaxis eye ointment for the baby after birth. On day 4 of life the baby showed acute onset of left eye drainage. Drainage appeared on the right eye on day 5. On the day before the appointment, the drainage had become so profuse that the mother was cleaning the eyes several times per hour and her eyes were red. During the appointment a sample of the mucopurulent discharge was collected and sent to the laboratory for media culture. Gram stain of colonies showed Gram negative diplococci. Gram stain of diplococci from discharge sample 1. Which is the main organ system affected? Skin/Eyes 2. Which infection/disease is affecting the patient? [Select ] 3. Which pathogen is the most likely causative agent? Neisseria meningitidis

          A 1-week-old newborn girl returned for a pediatric appointment due to an apparent eye infection. On physical examination the newborn presented with profuse eye drainage and swollen eyelids. She was born via vaginal delivery at 39 weeks and discharged with the mother on day 2 of life. The mother refuse a topical prophylaxis eye ointment for the baby after birth. On day 4 of life the baby showed acute onset of left eye drainage. Drainage appeared on the right eye on day 5. On the day before the appointment, the drainage had become so profuse that the mother was cleaning the eyes several times per hour and her eyes were red. During the appointment a sample of the mucopurulent discharge was collected and sent to the laboratory for media culture. Gram stain of colonies showed Gram negative diplococci.
Gram stain of diplococci from discharge sample
1. Which is the main organ system affected? Skin/Eyes
2. Which infection/disease is affecting the patient? [Select ]
3. Which pathogen is the most likely causative agent? Neisseria meningitidis

a 1 week old newborn girl returned for a pediatric appointment due to an apparent eye infection on physical examination the newborn presented with profuse eye drainage and swollen eyelids sh 67358

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