The conjunctival involvement of the sexually transmitted chlamydial infection is mild and can even be asymptomatic. In adults, it presents as a subacute follicular conjunctivitis. It is accompanied by a chronic urethritis in the male and a symptomless cervicitis in the female. In newborns, it occurs with an acute mucopurulent discharge, 5 to 10 days after birth. It is accompanied by infection of the maternal vagina by the same agent. Because the extranodal lymphoid tissues are not fully developed, the conjunctivitis is more papillary than follicular. Like trachoma it can be diagnosed by Giemsa staining on conjunctival scrapings.
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