Literature DB >> 27956326

Syphilitic posterior placoid chorioretinitis as initial presentation of early neurosyphilis.

F E Molina-Sócola1, F López-Herrero2, A Medina-Tapia2, T Rueda-Rueda2, M Contreras-Díaz2, J L Sánchez-Vicente2.   

Abstract

CASE REPORT: A 36 year-old male with a recent HIV diagnosis, presented with loss of vision of his left eye. Ophthalmoscopy revealed a unilateral yellowish placoid lesion in the macula. After fluorescein angiography, optical coherence tomography, optical coherence tomography angiography, syphilis serology, and cerebrospinal fluid results, he was diagnosed with neurosyphilis and syphilitic posterior placoid chorioretinitis. DISCUSSION: Acute syphilitic posterior placoid chorioretinitis is a rare ocular manifestation of syphilis. All patients with characteristic clinical and angiographic findings of acute syphilitic posterior placoid chorioretinitis should be tested for a neurosyphilis and human immunodeficiency virus co-infection. Early treatment with intravenous penicillin is usually effective with good visual results.
Copyright © 2016 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

Entities:  

Keywords:  Angiografía por tomografía de coherencia óptica; Coriorretinitis placoide; Human Immunodeficiency Virus; Maculopatía placoide; Neurosyphilis; Neurosífilis; Optical coherence tomographic angiography; Placoid chorioretinitis; Placoid maculopathy; Syphilis; Sífilis; Virus de inmunodeficiencia humana

Mesh:

Year:  2016        PMID: 27956326     DOI: 10.1016/j.oftal.2016.10.019

Source DB:  PubMed          Journal:  Arch Soc Esp Oftalmol        ISSN: 0365-6691


  2 in total

1.  The importance of proper and prompt treatment of ocular syphilis: a lesson from permanent vision loss in 52 eyes.

Authors:  X Gu; Y Gao; Y Yan; M Marks; L Zhu; H Lu; Z Guan; M Shi; L Ni; R Peng; W Zhao; J Wu; T Qi; S Lu; Y Qian; W Gong; P Zhou
Journal:  J Eur Acad Dermatol Venereol       Date:  2020-06-25       Impact factor: 6.166

2.  Long-Term Bilateral Poorly Treated Acute Syphilitic Posterior Placoid Chorioretinitis Complicated with Choroidal Neovascularization: A Case Report.

Authors:  Rita Vieira; Maria João Furtado
Journal:  Int Med Case Rep J       Date:  2022-09-30
  2 in total

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