title: OCULAR SYPHILIS IN A KIDNEY TRANSPLANT RECIPIENT.
abstract: We present a case of ocular syphilis after a renal transplantation involving progressive vision loss without clinically identifiable ocular disease. Electroretinography showed signs of ischemia, especially in the internal retina. A serological test was positive for syphilis. Lumbar puncture revealed lymphocytic meningitis and a positive serologic test for syphilis in the cerebrospinal fluid. The patient was treated with penicillin, and had a quick vision improvement. In the case of transplant recipients, clinicians should always consider the diagnosis of ocular syphilis in cases with unexplained visual acuity decrement, as this condition may cause serious complications if not treated.
authors.affiliation: School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Elen A
authors.initials: EA
authors.lastname: Romao
authors.affiliation: School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Valdes R
authors.initials: VR
authors.lastname: Bolella
authors.affiliation: School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Maria Estela P
authors.initials: ME
authors.lastname: Nardin
authors.affiliation: School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Maria Lucia
authors.initials: ML
authors.lastname: Habib-Simao
authors.affiliation: School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: João Marcelo
authors.initials: JM
authors.lastname: Furtado
authors.affiliation: School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Miguel
authors.initials: M
authors.lastname: Moyses-Neto
mesh_terms: D000328:Adult; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D013587:Syphilis / Q000175:diagnosis / Q000209:etiology*; D014792:Visual Acuity