Acute hemorrhagic conjunctivitis

Both Enterovirus and Coxsackievirus are recognized as causing acute hemorrhagic conjunctivitis (AHC). Dmang the last 25 years, several large epidemic outbreaks of AHC have occurred worldwide. 

Tavares FN, Costa EV Acute hemorrhagic conjunctivitis and coxsackievirus A24v, Rio de Janeiro, Brazil, 2004. Emerg imect Dis 2006 12 495-497. 

Pharyngoconjunctival fever and acute hemorrhagic conjunctivitis are similar to EKC in presentation except for a recent history of upper respiratory problems and fever in pharyngoconjunctival fever and development of large subconjunctival hemorrhages in acute hemorrhagic conjunctivitis. The cornea typically is less involved in each of these conditions, but they are treated in the same manner as EKC. 

Acute hemorrhagic conjunctivitis Eye disease caused by an enterovirus. 

S. pneumoniae is a common cause of acute bacterial conjunctivitis in children (Figure 25-5). Concurrent upper respiratory tract infections and otitis media, especially in children younger than 4 years, are common. In moderate climates S. pneumoniae is often the cause of acute bacterial conjunctivitis epidemics. This condition commonly presents with diffusely scattered petechial hemorrhages, especially on the superior bulbar conjunctiva, a mucopurulent discharge in the lower fornix, and transient marginal corneal infiltrates. Pseudomembranes may form. 

Indications Replete heat and fire toxins, exuberant heat in the three burners patterns. Septicemia, dysentery, pneumonia, acute urinary tract infections, ulcers, carbuncles, furuncles, boils, acute enteritis, acute icteric hepatitis, acute cholecystitis, encephalitis, acute conjunctivitis, acute pelvic inflammation, erysipelas, cellulitis, hemoptysis, epistaxis, urticaria, pruritus, cerebral hemorrhage, hypertension, anxiety, palpitations, insomnia, neurasthenia, and hysteria... 

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