Syphilis-Related Eye Disease Presenting as Bilateral Papilledema, Retinal Nerve Fiber Layer Hemorrhage, and Anterior Uveitis in a Penicillin-Allergic Patient
Purpose. Treponema pallidum 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 pa...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/2840241 |
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| _version_ | 1832567337915514880 |
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| author | Jamie Dietze Shane Havens |
| author_facet | Jamie Dietze Shane Havens |
| author_sort | Jamie Dietze |
| collection | DOAJ |
| description | Purpose. Treponema pallidum 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 syphilis when 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 allergy that presented with bilateral optic nerve edema, retinal hemorrhages, and iritis without vision loss. |
| format | Article |
| id | doaj-art-cf5dbdb4fa2f4b248e53462cd65a4b64 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-cf5dbdb4fa2f4b248e53462cd65a4b642025-02-03T01:01:49ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/28402412840241Syphilis-Related Eye Disease Presenting as Bilateral Papilledema, Retinal Nerve Fiber Layer Hemorrhage, and Anterior Uveitis in a Penicillin-Allergic PatientJamie Dietze0Shane Havens1University of Nebraska Medical Center, S. 42nd and Emile St., Omaha, NE, USAUniversity of Nebraska Medical Center, S. 42nd and Emile St., Omaha, NE, USAPurpose. Treponema pallidum 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 syphilis when 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 allergy that presented with bilateral optic nerve edema, retinal hemorrhages, and iritis without vision loss.http://dx.doi.org/10.1155/2018/2840241 |
| spellingShingle | Jamie Dietze Shane Havens Syphilis-Related Eye Disease Presenting as Bilateral Papilledema, Retinal Nerve Fiber Layer Hemorrhage, and Anterior Uveitis in a Penicillin-Allergic Patient Case Reports in Infectious Diseases |
| title | Syphilis-Related Eye Disease Presenting as Bilateral Papilledema, Retinal Nerve Fiber Layer Hemorrhage, and Anterior Uveitis in a Penicillin-Allergic Patient |
| title_full | Syphilis-Related Eye Disease Presenting as Bilateral Papilledema, Retinal Nerve Fiber Layer Hemorrhage, and Anterior Uveitis in a Penicillin-Allergic Patient |
| title_fullStr | Syphilis-Related Eye Disease Presenting as Bilateral Papilledema, Retinal Nerve Fiber Layer Hemorrhage, and Anterior Uveitis in a Penicillin-Allergic Patient |
| title_full_unstemmed | Syphilis-Related Eye Disease Presenting as Bilateral Papilledema, Retinal Nerve Fiber Layer Hemorrhage, and Anterior Uveitis in a Penicillin-Allergic Patient |
| title_short | Syphilis-Related Eye Disease Presenting as Bilateral Papilledema, Retinal Nerve Fiber Layer Hemorrhage, and Anterior Uveitis in a Penicillin-Allergic Patient |
| title_sort | syphilis related eye disease presenting as bilateral papilledema retinal nerve fiber layer hemorrhage and anterior uveitis in a penicillin allergic patient |
| url | http://dx.doi.org/10.1155/2018/2840241 |
| work_keys_str_mv | AT jamiedietze syphilisrelatedeyediseasepresentingasbilateralpapilledemaretinalnervefiberlayerhemorrhageandanterioruveitisinapenicillinallergicpatient AT shanehavens syphilisrelatedeyediseasepresentingasbilateralpapilledemaretinalnervefiberlayerhemorrhageandanterioruveitisinapenicillinallergicpatient |