Diagnosis Culture organism from the conjunctiva or nasopharynx. Need to get specimen with cells because organism is intracellular purulent material may not have organisms present DFA, EIA, PCR may be available in some labs. Treat mother and her sexual partner as well topical treatment is unnecessary Erythromycin and Silver Nitrate are not effective prophylaxis. Only prevention is treatment of pregnant infected women. Chest may have diffuse crackles and usually no wheezing.
Chest radiograph has bilateral interstitial infiltrates and hyperinflation.
Reference Darville T. Chlamydia. Pediatrics in Review.