Ocular syphilis among HIV-infected individuals.
We describe a human immunodeficiency virus (HIV)-infected individual with ocular manifestations of secondary syphilis. Twelve other cases of HIV-associated ocular syphilis are also presented. Six of 12 individuals had normal cerebrospinal fluid study results, and 3 patients required retreatment within 1.5 years. In patients with HIV infection, clinicians should be vigilant for ocular syphilis despite normal cerebrospinal fluid measures and for syphilis reinfection.
Li
Jonathan Z
JZ
Division of Infectious Diseases, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. jli22@partners.org
Tucker
Joseph D
JD
Lobo
Ann-Marie
AM
Marra
Christina M
CM
Davis
Benjamin T
BT
Papaliodis
George N
GN
Felsenstein
Donna
D
Durand
Marlene L
ML
Yawetz
Sigal
S
Robbins
Gregory K
GK
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002308:Cardiolipins; D002555:Cerebrospinal Fluid / Q000737:chemistry / Q000166:cytology; D002784:Cholesterol; D015817:Eye Infections / Q000175:diagnosis* / Q000473:pathology; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D010713:Phosphatidylcholines; D013587:Syphilis / Q000175:diagnosis* / Q000473:pathology; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D002308:Cardiolipins; D010713:Phosphatidylcholines; C054448:VDRL antigen; D002784:Cholesterol