Ocular Syphilis as a Primary Manifestation of Neurosyphilis: A Case Report

Sexually transmitted infectious diseases could affect a variety of organs, generating significant symptomatology. In the elderly population, infectious causes for vision problems are not generally considered. We present the case of an elderly patient with blurred vision and darkening of visual field...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-05, Vol.16 (5)
Main Authors: Silverio Lopez, Rosaida, Gandi, Venkata, Hasan, Syed Askari
Format: Article
Language:English
Subjects:
Antibodies
Biopsy
Cardiovascular disease
Case reports
Cataracts
Cerebrospinal fluid
Coronary vessels
Disease control
Edema
Endothelium
Eye examinations
Glucose
Hemoglobin
Immune system
Infectious Disease
Leukocytes
Magnetic resonance imaging
Medical laboratories
Motility
Neurology
Older people
Ophthalmology
Penicillin
Proteins
Sexually transmitted diseases
STD
Syphilis
Vein & artery diseases
Visual acuity
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Summary:Sexually transmitted infectious diseases could affect a variety of organs, generating significant symptomatology. In the elderly population, infectious causes for vision problems are not generally considered. We present the case of an elderly patient with blurred vision and darkening of visual fields. He underwent an unsuccessful biopsy of the temporal artery as his vision disturbances presented also with episodic headaches. He was found to have an elevated rapid plasma reagin (RPR) and venereal disease research laboratory (VDRL) test in his cerebrospinal fluid (CSF) analysis. He was treated for ocular syphilis with a total resolution of his vision loss.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.59651