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NLM AIDSLINE

[Disseminated choroiditis, papillitis and vasculitis retinae as main findings in lues II-III]




 

Klin Monatsbl Augenheilkd. 1991 Jan;198(1):37-43. Unique Identifier :

Intraocular inflammations as chief manifestation of a T. pallidum infection associated with stage II syphilis are rarely documented in the recent literature. We report on a 35 year old patient with bilateral choroiditis, retinal vasculitis and papillitis persisting retrospectively since he had received some medication for syphilis 8 years previously. This patient was at high risk for other sexually transmitted diseases, however, he did not show HIV-seroconversion. General symptoms like uneasiness, fatigue, depressions and intermittent weight loss were mentioned. Reduction of visual acuity with topical corticosteroid therapy led to another medical work-up, and a systemic therapy with Ceftriaxone for 14 days resulted in better vision, better perimetric results and less inflammatory cell in the vitreous but evident optic atrophy.

Adult Case Report Ceftriaxone/THERAPEUTIC USE Chorioretinitis/*DIAGNOSIS/DRUG THERAPY Drug Therapy, Combination English Abstract Follow-Up Studies Human Male Methylprednisolone/THERAPEUTIC USE Neurosyphilis/*DIAGNOSIS/DRUG THERAPY Papilledema/*DIAGNOSIS/DRUG THERAPY Retinal Detachment/DIAGNOSIS/DRUG THERAPY Syphilis Serodiagnosis Visual Acuity/DRUG EFFECTS Visual Fields/DRUG EFFECTS JOURNAL ARTICLE



 




Information in this article was accurate in August 30, 1991. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.