An unexpected case of panuveitis.
We report a case of sight-threatening secondary syphilis with HIV co-infection where atypical pattern of skin manifestations resulted in a delay in making the correct diagnosis. However, despite marked visual loss by the time correct diagnosis was made, the patient responded well, albeit slowly, to a course of intravenous benzyl penicillin.
Malu
M K
MK
Whittall Street Clinic, Whittall Street, Birmingham B4 6DH, UK. manoj.malu@uhl-tr.nhs.uk
Radcliffe
K W
KW
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002308:Cardiolipins / Q000276:immunology; D002784:Cholesterol / Q000276:immunology; D004318:Doxycycline / Q000627:therapeutic use; D004342:Drug Hypersensitivity; D005500:Follow-Up Studies; D015658:HIV Infections / Q000150:complications; D006801:Humans; D008297:Male; D009494:Neurosyphilis / Q000150:complications / Q000175:diagnosis; D015864:Panuveitis / Q000175:diagnosis* / Q000188:drug therapy / Q000821:virology*; D010406:Penicillins / Q000627:therapeutic use; D010713:Phosphatidylcholines / Q000276:immunology; D013587:Syphilis / Q000150:complications / Q000175:diagnosis; D013588:Syphilis Serodiagnosis; D013997:Time Factors; D016896:Treatment Outcome; D044465:White People
D000900:Anti-Bacterial Agents; D002308:Cardiolipins; D010406:Penicillins; D010713:Phosphatidylcholines; C054448:VDRL antigen; D002784:Cholesterol; D004318:Doxycycline