Primary ophthalmological diagnosis of Treponema pallidum infection: A case series

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
D GrasslG Sauder

Abstract

This report is on five patients (four men and one woman) between the age of 24 and 66 years old who presented with unclear visual impairment in our clinic between 2009 and 2016 for co-evaluation. The clinical picture included intermediate uveitis, chorioretinitis, panuveitis and bilateral spontaneous cystoid macular edema. None of the patients reported systemic or dermatological symptoms. In all five patients, serological testing revealed a Treponema pallidum infection as the reason for ocular inflammation. The ophthalmologist was therefore the first to discover a syphilitic infection. After initiation of appropriate antibiotic therapy, there was improvement in all five patients and an increase in visual acuity.

References

Dec 4, 2013·Ocular Immunology and Inflammation·Nicholas P Jones
Nov 5, 2016·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Klaus JansenUlrich Marcus
Mar 16, 2017·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·T Neß

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