Abstract | BACKGROUND: FINDINGS: This is a retrospective case report with literature review. A 39-year-old Caucasian female presented with a 2-week history of bilateral ocular flashes and left eye pain. Dilated fundus examination revealed mild optic disc edema in both eyes, the right eye more than the left. In the left eye, there was an area of retinal elevation and whitening involving the peripheral retina. Fluorescein angiography, B-scan ultrasonography, and ocular coherence tomography were performed, and laboratory tests were ordered based on the clinical presentation. After rapid plasma reagin (RPR) and fluorescent treponemal antibody absorption (FTA-Abs) were positive, syphilitic uveitis was confirmed, and the patient was admitted for a 14-day course of high-dose intravenous penicillin G. CONCLUSIONS: The first signs and symptoms of syphilis may be ocular, which can lead to a diagnostic challenge. A high index of suspicion is the key for early diagnosis of ocular syphilis. Prompt treatment with intravenous penicillin G is highly effective in resolving the infection.
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Authors | Christy Elizabeth Benson, Mohamed Kamel Soliman, Alexander Knezevic, Daisy Ding Xu, Quan Dong Nguyen, Diana V Do |
Journal | Journal of ophthalmic inflammation and infection
(J Ophthalmic Inflamm Infect)
Vol. 5
Pg. 16
( 2015)
ISSN: 1869-5760 [Print] Germany |
PMID | 26069511
(Publication Type: Journal Article)
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