首页> 外文期刊>Clinical ophthalmology >Posterior placoid chorioretinitis: An unusual ocular manifestation of syphilis
【24h】

Posterior placoid chorioretinitis: An unusual ocular manifestation of syphilis

机译:后部乳突脉络膜视网膜炎:梅毒的异常眼部表现

获取原文
       

摘要

Abstract: There appears to be a re-emergence of syphilis in recent times despite a steady decline in incidence for the past decade. Diagnosis of syphilis can be clinically challenging and ocular manifestations of syphilis have a myriad of presentations and severity. Ocular syphilis can occur at any stage of the disease and may also be the only presenting sign of syphilis. We report a case of acute unilateral maculopathy, due to posterior placoid chorioretinitis associated with syphilis, in an immuno-competent patient. Ophthalmoscopy revealed a unilateral yellowish placoid lesion at the macula. Syphilis serology was positive confi rming active infection. There were no other systemic signs of syphilis. The patient was treated with intravenous benzylpenicillin 1.2 g every four hours for two weeks. The lesion resolved with treatment and the retinal appearance returned to normal. This case highlights the importance of raising clinical suspicion of syphilis in view of unexplained decreased vision and ocular inflammation.
机译:摘要:尽管近十年来梅毒的发病率持续下降,但近来梅毒似乎再次出现。梅毒的诊断可能在临床上具有挑战性,梅毒的眼部表现有无数的表现和严重程度。眼梅毒可以在疾病的任何阶段发生,也可能是梅毒的唯一表现。我们报告了一例具有免疫功能的患者由于与梅毒相关的后路乳突脉络膜视网膜炎,导致急性单侧黄斑病变。眼底镜检查显示在黄斑处有单侧淡黄色的斑状病变。梅毒血清学阳性证实是主动感染。没有其他梅毒的全身症状。患者每四小时接受1.2 g的苄基青霉素静脉注射治疗,持续两周。经治疗后病变消退,视网膜外观恢复正常。鉴于无法解释的视力下降和眼部炎症,该病例突出了提高梅毒临床怀疑的重要性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号