[Secondary ocular syphilis with chorioretinitis of the posterior pole - a case report].

Abstract:

BACKGROUND:Diagnosis of syphilis is often very difficult due to the absence of typical organ manifestation. In addition syphilis has the ability to imitate any ocular inflammation. This may result in misdiagnosis and delay of appropriate antimicrobial therapy. Up to now the first choice therapy is penicillin. CASE REPORT:We report about an otherwise healthy, 40 year-old-woman, who was referred to the Department of Ophthalmology, University of Tuebingen, due to an unclear loss of visual acuity (OD 0.1 and OS 0.4). The fundus examination disclosed focal chorioretinitis on the posterior pole, which was verified in fluorescein angiography. Secondary syphilis was diagnosed due to positive serological testing. Medical treatment consisted in Penicillin (i.m.) for 2 weeks and additional oral corticosteroids, which were tapered down slowly. After 3 months visual acuity had improved to 0.9 in the right and to 1.0 in the left eye. The former chorioretinitis regions showed only hyperpigmentation. CONCLUSIONS:Laboratory syphilitic testing should be performed in every uveitis.

journal_name

Klin Monbl Augenheilkd

authors

Stübiger N,Denk PO,Kötter I,Zierhut M

doi

10.1055/s-2001-17141

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

574-7

issue

8

eissn

0023-2165

issn

1439-3999

journal_volume

218

pub_type

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