title: Syphilitic posterior placoid chorioretinitis as initial presentation of early neurosyphilis.
abstract: METHODS
  A 36 year-old male with a recent HIV diagnosis, presented with loss of vision of his left eye. Ophthalmoscopy revealed a unilateral yellowish placoid lesion in the macula. After fluorescein angiography, optical coherence tomography, optical coherence tomography angiography, syphilis serology, and cerebrospinal ﬂuid results, he was diagnosed with neurosyphilis and syphilitic posterior placoid chorioretinitis.
  
  
  CONCLUSIONS
  Acute syphilitic posterior placoid chorioretinitis is a rare ocular manifestation of syphilis. All patients with characteristic clinical and angiographic ﬁndings of acute syphilitic posterior placoid chorioretinitis should be tested for a neurosyphilis and human immunodeﬁciency virus co-infection. Early treatment with intravenous penicillin is usually effective with good visual results.
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Virgen del Rocío, Sevilla, España. Electronic address: fredy_771@hotmail.com.
authors.forename: F E
authors.initials: FE
authors.lastname: Molina-Sócola
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: F
authors.initials: F
authors.lastname: López-Herrero
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: A
authors.initials: A
authors.lastname: Medina-Tapia
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: T
authors.initials: T
authors.lastname: Rueda-Rueda
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: M
authors.initials: M
authors.lastname: Contreras-Díaz
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: J L
authors.initials: JL
authors.lastname: Sánchez-Vicente
mesh_terms: D000328:Adult; D002825:Chorioretinitis / Q000209:etiology*; D005451:Fluorescein Angiography; D015658:HIV Infections / Q000150:complications; D006801:Humans; D008297:Male; D009494:Neurosyphilis / Q000150:complications / Q000175:diagnosis*; D013588:Syphilis Serodiagnosis; D041623:Tomography, Optical Coherence
keywords: Angiografía por tomografía de coherencia óptica; Coriorretinitis placoide; Human Immunodeficiency Virus; Maculopatía placoide; Neurosyphilis; Neurosífilis; Optical coherence tomographic angiography; Placoid chorioretinitis; Placoid maculopathy; Syphilis; Sífilis; Virus de inmunodeficiencia humana