Journal List > Infect Chemother > v.41(4) > 1075469

Won, Park, Cho, Kim, Seo, Kim, Nam, Park, Seo, and Cho: A Case of Syphilitic Uveitis in an Immunocompetent Patient

Abstract

Syphilis is re-emerging worldwide due to the HIV epidemic. Prior to the introduction of penicillin, syphilis was the second most common primary cause of all cases of uveitis. Today, ocular syphilis is a rare disease, especially in an immunocompetent patient. Variable manifestation without pathognomonic signs of ocular syphilis often lead to delayed diagnosis, resulted in irreversibile loss of vision. In Korea, syphilitic uveitis has not been reported in an immunocompetent patient since 1984. We experienced a case of syphilitic uveitis in an immunocompetent man with visual deterioration. As the incidence of syphilis is increasing in these days, a high degree of clinical suspicion should be considered in patients with unexplained ocular inflammation and visual disturbances.

Figures and Tables

Figure 1
Fluorescein fundus angiography at the initial visit on the late phase, choroidal and vascular leakage at the posterior pole and peripheral retina is shown.
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Figure 2
Fluorescein fundus angiography (FAG) 8 weeks later FAG reveals no leakage during the late phase after medical treatment.
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