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September 18, 1981

Ocular Chlamydial Infections-Reply

Author Affiliations

US Public Health Service Hospital Seattle

JAMA. 1981;246(12):1302. doi:10.1001/jama.1981.03320120013013

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In Reply.—  Dr Deur's letter illustrates the problem faced by an astute and conscientious clinician in managing the sex partner of patients who have sexually transmissible disease. This can be most difficult when the diagnosis is not readily recognized by the patient as a sexually transmitted disease. For example, it is important to identify and treat sexual contacts not only of adult patients with adult ocular chlamydial infections but also the parents of infants with neonatal chlamydial conjunctivitis and the sex partner of patients with mucopurulent cervicitis, epididymitis, Reiter's syndrome, urethral syndrome, pelvic inflammatory disease, and so on. At the present time this situation is probably dealt with most effectively by family physicians who are trained to view the patient in the setting of his family and other relationships. I suspect it may be dealt with least effectively by gynecologists who are trained and expected to deal only with female