Syphilis-Related Eye Disease Presenting as Bilateral Papilledema, Retinal Nerve Fiber Layer Hemorrhage, and Anterior Uveitis in a Penicillin-Allergic Patient
2018
Purpose.
Treponemapallidum is known as the “great masquerader” for its many presentations and ocular findings in patients who are infected and develop secondary and tertiary stage of
syphilis. Syphilitic ocular manifestations include
uveitis,
chorioretinitis,
retinitis,
vasculitis, vitritis, and panuveitis all with or without decreased visual acuity. Human immunodeficiency virus (HIV) is known to expedite the progression of
syphiliswhen patients are
coinfected, thus compounding the potential ophthalmic presentations. This report summarizes the
presentation,
management, and clinical course of a patient with known HIV and
penicillin allergythat presented with bilateral optic nerve edema, retinal hemorrhages, and iritis without vision loss.
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