What is the primary consequence of untreated gonorrhea and Chlamydia conjunctivitis in newborns?

The primary consequence of untreated gonorrhea and Chlamydia conjunctivitis in newborns is blindness. When these infections occur in neonates, they can lead to serious complications affecting the eyes. Gonococcal conjunctivitis especially poses a significant risk since the gonococcus bacteria can cause severe inflammation and scarring of the cornea. Without prompt treatment, this can result in corneal perforation and ultimately vision loss, hence leading to blindness.

Chlamydial infections can also cause conjunctivitis in newborns, which, while generally less severe than gonococcal infections, can still result in significant ocular complications if left untreated. The overarching concern with these infections is the potential to cause irreversible damage to the eyes, making blindness the foremost consequence of neglecting to treat these conditions. The other conditions listed, such as fluid retention or respiratory issues, are not direct consequences of conjunctivitis caused by these infections in newborns.