Chlamydia trachomatis presenting as preseptal cellulitis in a 3-year-old girl

J AAPOS. 2019 Aug;23(4):245-246. doi: 10.1016/j.jaapos.2019.04.001. Epub 2019 May 18.


Inclusion conjunctivitis usually presents with lid swelling, red eye, foreign body sensation, and a mucopurulent discharge in association with a follicular reaction involving the palpebral and bulbar conjunctiva and semilunar fold. Similar to epidemic keratoconjunctivitis, it may present with preauricular lymphadenopathy, superficial punctate keratitis, and subepithelial corneal infiltrates, which tend to be more peripheral. We present the case of preseptal cellulitis in a 3-year-old child, caused by nonconsensual sexual contact with chlamydia trachomatis.

Publication types

  • Case Reports

MeSH terms

  • Cellulitis / diagnosis*
  • Cellulitis / microbiology
  • Child, Preschool
  • Chlamydia Infections / diagnosis*
  • Chlamydia Infections / microbiology
  • Chlamydia trachomatis / isolation & purification*
  • Diagnosis, Differential
  • Eye Infections, Bacterial / diagnosis*
  • Eye Infections, Bacterial / microbiology
  • Female
  • Humans
  • Keratoconjunctivitis / diagnosis*
  • Keratoconjunctivitis / microbiology
  • Orbital Diseases / diagnosis*
  • Orbital Diseases / microbiology