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ANSWER 6

Why not the rest?

SALIENT POINTS:



Gonorrhea is unlikely because the conjunctivitis is not purulent and painful.


Staphylococcal blepharitis involves only the eyelids.


He has no
exposure history for tularemia:

e.g. Tick and deer fly bites, skin contact with infected animals, ingestion of contaminated water, inhalation of contaminated aerosols or agricultural dusts, or from laboratory exposure


In immunocompetent hosts, microsporidia cause keratitis with eye pain and the species are Encephalitozoon, not Enterocytozoon.

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BOF 22 Jan 2016

By Wong Chen Seong