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Coexistence of Papillitis and Posterior Placoid Chorioretinopathy as the Presenting Symptoms of Syphilis-Human Immunodeficiency Virus Coinfection.

Authors :
Karti O
Top Karti D
Ozkan Ozdemir H
Eskut N
Zengin MO
Kusbeci T
Saatci AO
Source :
Neuro-ophthalmology (Aeolus Press) [Neuroophthalmology] 2018 Jul 20; Vol. 43 (3), pp. 196-200. Date of Electronic Publication: 2018 Jul 20 (Print Publication: 2019).
Publication Year :
2018

Abstract

A 27-year-old male was presented with a decrease in vision in the left eye. Best-corrected visual acuity was 10/10 in the right eye and counting fingers at 2 m in the left eye. On fundus examination, the left optic disc was oedematous and there was a wide yellowish, well-defined placoid lesion between the temporal vascular arcades with mild vitreous inflammation. However, a small yellowish well-defined placoid lesion was detected in the inferior temporal region of the macula in the right eye. He was diagnosed with posterior placoid chorioretinopathy (PPC), papillitis, and neurosyphilis after performing fundus fluorescein angiography, fundus autofluorescence imaging, optical coherence tomography, serology for human immunodeficiency virus (HIV) and syphilis, and cerebrospinal fluid examination. Intravenous penicillin treatment was commenced as soon as the diagnosis was established. Seven days after treatment initiation, lesions were partially regressed. PPC and papillitis are rare manifestations of ocular syphilis. In addition, neurosyphilis may also accompany these manifestations. Therefore, syphilis should be considered in the differential diagnosis of patients who have PPC or papillitis and all patients should be tested for HIV coinfection and neurosyphilis.

Details

Language :
English
ISSN :
0165-8107
Volume :
43
Issue :
3
Database :
MEDLINE
Journal :
Neuro-ophthalmology (Aeolus Press)
Publication Type :
Report
Accession number :
31312245
Full Text :
https://doi.org/10.1080/01658107.2018.1493515