Juxtapapillary chorioretinitis in neurosyphilis. A case report.
A case of neurosyphilis is described. The presenting symptoms were reduced vision and pain around the left eye. The examination revealed a juxtapapillary chorioretinitis and neurosyphilis with elevated total protein (0.84 g/l) and pleocytosis (250 cells X 10(6)/l) in the cerebrospinal fluid (CFS). Four months after treatment with penicillin for 10 days and prednisolone for 5 weeks, the ophthalmological signs had disappeared. There was no pleocytosis (4 cells X 10(6)/l), and the total protein content in CSF was almost normal (0.52 g/l). Treatment with 6 mill (IU) penicillin G intravenously every 6 h resulted in a concentration in serum and spinal fluid higher than the generally accepted treponemacidal level.
D000328:Adult; D002825:Chorioretinitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005123:Eye; D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D009494:Neurosyphilis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010146:Pain / Q000209:etiology; D010400:Penicillin G / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D014786:Vision Disorders / Q000209:etiology; D014794:Visual Fields
D011239:Prednisolone; D010400:Penicillin G