Douglas J. Rhee, MD

14(c) Stage 3Develops weeks to years following initial infection and is typically characterized by development of arthritis. Ocular involvementincludes episcleritis, stromal keratitis, orbital myositis.Drug Trade Dose Notesceftriaxone Rocephin 2.0 gm IV QD × 14–28 days Preferred first line agent50–75 mg/kg/day divided Q12 hr Pediatric dose (max 2 g/day)ordoxycycline Vibramycin 100 mg PO BID × 30 days Not for children or pregnancy1 Caused by Treponema pallidum.2 From Expert Opin Pharmacother 2005;6:2271.3 Caused by Neisseria gonorrhea.4 From Med Lett 1995;37:119.5 From Rhee DJ, Pyfer MF, eds. The Wills Eye Manual: Offi ce and Emergency Room Diagnosis and Treatment of Eye Disease, 3rd ed. Philadelphia: LippincottWilliams & Wilkins, 1999.6 Caused by C. Trachomatis Subtypes D-K.7 Caused by C. Trachomatis Subtypes A, B, C.8 From Fraunfelder F, Roy FG. Current Ocular Therapy 4. Philadelphia: Saunders. 1995:62–63.9 From Arch Ophthalmol 1998;116:1625-1628; Ophthalmology 1998;105:658–661.10 Caused by Borrelia burgdorferi.11 From Sanford JP, Gilbert DN, Sande, MA. Sanford Guide to Antimicrobial Therapy. (Dallas: Antimicrobial Therapy, Inc., 1995). 38–39.