[Disseminated choroiditis, papillitis and vasculitis retinae as main findings in lues II-III].
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.
Bialasiewicz
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Augenklinik mit Poliklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg.
Dommer
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S
D000328:Adult; D002443:Ceftriaxone / Q000627:therapeutic use; D002825:Chorioretinitis / Q000175:diagnosis* / Q000188:drug therapy; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D009494:Neurosyphilis / Q000175:diagnosis* / Q000188:drug therapy; D010211:Papilledema / Q000175:diagnosis* / Q000188:drug therapy; D012163:Retinal Detachment / Q000175:diagnosis / Q000188:drug therapy; D013588:Syphilis Serodiagnosis; D014792:Visual Acuity / Q000187:drug effects; D014794:Visual Fields / Q000187:drug effects
D002443:Ceftriaxone; D008775:Methylprednisolone