BRIEF COMMUNICATION |
|
Year : 2013 | Volume
: 61
| Issue : 11 | Page : 676-678 |
|
Delayed diagnosis of ocular syphilis that manifested as retinal vasculitis and acute posterior multifocal placoid epitheliopathy
Jong Hoon Park, Soo Geun Joe, Young Hee Yoon
Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Correspondence Address:
Young Hee Yoon Department of Ophthalmology, University of Ulsan College of Medicine, Asan Medical Center, #388-1 Pungnap2-Dong, Songpa-Gu, Seoul, 138-040 Korea
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/0301-4738.119415
|
|
A 55-year-old female presented with bilateral progressive retinal vasculitis. She was on systemic and intravitreal steroids on the basis of uveitis work-up result (negative result including rapid plasma reagin), but her visual acuity continued to deteriorate to light perception only. Ocular examination showed retinal vasculitis, multiple yellow placoid lesions and severe macula edema in both eyes. Repeated work-up revealed positivity of fluorescent treponemal antibody-absorption in serum and subsequently in cerebrospinal fluid. Ocular syphilis was diagnosed. And intravenous penicillin G resulted in rapid resolution of vasculitis and macular edema. To avoid delay in the diagnosis of ocular syphilis, high index of suspicion and repeating serological tests (including both treponemal and non-treponemal tests) are warranted. |
|
|
|
[FULL TEXT] [PDF]* |
|
|
|