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Chlamydia Infections in a Series of Both Diseases

Chandler R. Dawson, MD; Julius Schachter, PhD; Howard B. Ostler, MD; Robert M. Gilbert, MD; David E. Smith, MD; Ephraim P. Engleman, MD

Arch Ophthalmol. 1970;83(3):300-306.

Abstract
A 21-year-old woman presented with inclusion conjunctivitis followed by iritis. Her husband had developed Reiter's syndrome two years previously. Chlamydia (psittacosis-lymphogranuloma-trachoma or Bedsonia) agent was demonstrated in both husband and wife. This study compares a series of 26 patients with inclusion conjunctivitis and a series of 24 patients with Reiter's syndrome in whom chlamydial infection was demonstrated. In all patients with inclusion conjunctivitis, follicular keratoconjunctivitis was present, and two developed uveitis. Among patients with Reiter's syndrome and Chlamydia infection, one patient had follicular keratoconjunctivitis, two had keratitis, and four had iritis. If some cases of Reiter's syndrome are caused by Chlamydia infections, the disease may be an unusual host response to the agent rather than a direct result of infection as with inclusion conjunctivitis.

Author Affiliations
San Francisco

From the Francis I. Proctor Foundation for Research in Ophthalmology (Drs. Dawson, Ostler, and Schachter), George Williams Hooper Foundation (Dr. Schachter), and the departments of ophthalmology (Drs. Dawson and Ostler) and medicine (Rheumatic Disease Group Drs. Schachter, Smith, Engleman, and Gilbert), University of California, San Francisco Medical Campus, San Francisco.

Footnotes
Submitted for publication Sept 2, 1969.

Read before the Section on Ophthalmology at the 118th annual convention of the American Medical Association, New York, July 15, 1969.

Reprint requests to Francis I. Proctor Foundation, University of California, San Francisco 94122 (Dr. Dawson).

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