Gonococcal runny nose

Gonococcal runny nose occurs when the nasal mucosa is invaded by the gonococcal in newborns during labor through the infected birth canal. Can be combined with gnococcal conjunctivitis. It is suggested that in some cases, the conjunctiva of the eye is exposed to the primary infection, and then the infection through the SLM and the tear-nasal canal reaches the nasal mucosa and gives rise to a gonorrheal rhinitis. Possible and retrograde pathway of infection - from the nasal mucosa to the conjunctiva through the tear-removing puja.

Symptoms are divided into local and general. Local symptoms are manifested by the presence of abundant purulent discharge from the nose of a viscous consistency, greenish color with an admixture of blood, hyperemia and edema of the tip and wings of the nose, and also the upper lip. Infants have shortness of breath due to nasal breathing and a severe difficulty in sucking. Purulent discharge dries into dense crusts, causing blockage of nasal passages; spreading to the skin of the vestibule of the nose and upper lip, they provoke the formation of cracks and ulcers. On the mucous membrane, intense hyperemia, infiltration and ulceration are detected. Common symptoms are manifested by fever and expressed general poor condition of the newborn due to intoxication, respiratory and nutritional disorders (weight loss of the child), and the rapid occurrence of complications.

Evolution of the disease is super-fast, as it occurs on the first day after birth. Sometimes the process develops as a subacute tendency to chronic disease, like chronic gonococcal urethritis, manifesting as a "nasal drop" symptom, as is the case with chronic urethritis. Chronic gonococcosis can last for several months if the child does not die within the first 2-3 ids of an acute process.

Subacute and chronic forms of gonococcal runny nose in adults can mostly be asymptomatic and manifest only as a symptom of a "morning drop". Possible and oropharyngeal forms, which often occur "under the flag" of banal pharyngitis, are difficult to diagnose and can be cured spontaneously.

Complications of gonococcal coryza in infants in frequency in descending order can be arranged as follows: purulent gonococcal ophthalmitis, pulmonary, gastrointestinal and ear complications, which in the preantibiotic period led to the death of the child. In more rare cases, during which spontaneous recovery occurred, nasal sinuses, cicatricial changes, mucosal atrophy, and often hyposmia persisted in the nasal cavity. In our time, in connection with the use of antibiotics of severe forms of gonococcal coryza with the indicated consequences and complications is practically not observed.

The prognosis regarding the life of a newborn with timely and effective treatment is favorable. In functional terms, with ineffective and untimely begun treatment, when pronounced pathomorphological changes occurred in the nasal cavity, massive synechia and scars cause atresia of the nasal passages and deprive the patient of normal nasal breathing.

Treatment is divided into local and general. Local treatment along with the above methods involves frequent irrigation of the nasal cavity with solutions of antibiotics of the penicillin series, as well as various antiseptic and disinfectant solutions (miramistin, chlorhexidine, nipemidic acid). The general treatment is carried out according to the appropriate schemes by aminoglycosides (gentamicin, spectinomycin), amphenicols (chloramphenicol), macrolides and azalides (azithromycin, oleandomycin, erythromycin, etc.), drugs of the non-genicin series (amoxicillin, ospamox, flemoxin, etc.), and immunomodulating treatment (methylglucamine acrydon acetate, cyclophero, etc.).

[1], [2], [3], [4]