326 results match your criteria: "Ocular Manifestations of Syphilis"

Purpose: This study aimed to investigate ocular manifestations in patients with neurosyphilis and their association with general indexes.

Methods: This retrospective study was conducted among patients who were hospitalized for neurosyphilis from 2012 to 2022. Clinical manifestations, laboratory tests, brain MRI, and ocular examinations were reviewed and analyzed.

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Article Synopsis
  • * Initial visual assessments revealed significant vision loss in the left eye and worsening conditions in the right eye, with diagnostic tests confirming syphilis as the underlying cause of the retinitis.
  • * After receiving treatment with benzathine penicillin and doxycycline, the patient's vision improved markedly in both eyes, demonstrating the effectiveness of addressing syphilitic retinitis.
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Demographics and Clinical Characteristics of Patients with Neurosyphilis in Rhode Island.

R I Med J (2013)

December 2024

Division of Infectious Diseases, Warren Alpert Medical School of Brown University, The Miriam Hospital, Providence, RI.

The incidence of syphilis has been steadily rising throughout the United States over the past decade, including Rhode Island. Neurosyphilis is a manifestation of syphilis involving the central nervous system and can present with a multitude of symptoms. We evaluated all cases of syphilis at a single healthcare system in Rhode Island over a 10.

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Multimodal Imaging of a Unique Transitory Finding in Ocular Syphilis.

J Vitreoretin Dis

October 2024

Department of Ophthalmology, Weill Cornell Medicine, New York, NY, USA.

Article Synopsis
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Purpose: Syphilis is a re-emerging infectious disease with various systemic manifestations, including ocular involvement, which can lead to significant morbidity if untreated. This study aims to analyze the ocular manifestations of syphilis in patients treated at a Portuguese tertiary center over a 14-year period.

Patients And Methods: A retrospective review of patients diagnosed with syphilis who presented with ocular symptoms from 2010 to 2023 was conducted.

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[Manifestations of ocular syphilis in a couple].

J Fr Ophtalmol

October 2023

Département d'ophtalmologie, centre de référence des maladies rares, DHU Sight Restore, université Paris VI, hôpital Pitié-Salpêtrière, boulevard de l'hôpital, 75013 Paris, France.

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The article provides a thorough review of the challenges in diagnosing ocular syphilis. However, our research on 'Dermatological and Ocular Manifestations of Syphilis,' identifies a significant gap in both literature and clinical practice: the lack of recognition of dermatological signs during ophthalmological assessments. Ocular syphilis often mimics other conditions and can remain undiagnosed for months or years.

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Persistent syphilitic ocular manifestations despite treatment: a case series.

J Ophthalmic Inflamm Infect

October 2024

Department of Ophthalmology, Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

Article Synopsis
  • Penicillin is the primary treatment for syphilis, but some patients experience ongoing eye issues like visual loss due to chronic inflammation or incomplete treatment.
  • In a case series of three patients, two experienced persistent syphilitic retinal conditions despite being treated with penicillin, leading to additional treatments or reinforcement of therapy.
  • Recommendations emerging from these cases emphasize ensuring complete initial penicillin treatment and monitoring inflammatory responses to optimize recovery and visual outcomes.
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Ocular Syphilis: The Resurgence of an Old Disease Experience of a Tertiary Centre in Portugal.

Ocul Immunol Inflamm

October 2024

Department of Ophthalmology, Unidade Local de Saúde de Coimbra, Coimbra, Portugal.

Article Synopsis
  • A study conducted at a tertiary care center in Coimbra, Portugal, aimed to estimate the prevalence of ocular syphilis (OS) cases from 2015 to 2023 and analyze its correlation with overall syphilis diagnoses.
  • Researchers examined 54 patients with OS, revealing a demographic trend of mostly middle-aged males, with a significant proportion being men who have sex with men (MSM) and co-infected with HIV.
  • The findings indicated that OS presentations varied widely, with most patients experiencing decreased visual acuity, and treatment with intravenous penicillin led to significant improvement in visual outcomes.
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Ocular syphilis is a serious complication of infection that can occur at any stage of syphilis and affect any eye structure. It remains unknown if certain strains are associated with ocular infections; therefore, we performed genotyping and whole genome sequencing (WGS) to characterize strains from patients with ocular syphilis. Seventy-five ocular or non-ocular specimens from 55 ocular syphilis patients in 14 states within the United States were collected between February 2016 and November 2020.

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Anterior uveitis for the comprehensive ophthalmologist.

Can J Ophthalmol

August 2024

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada; Toronto Western Hospital, University Health Network, Toronto, ON, Canada. Electronic address:

Anterior uveitis presents a diagnostic challenge due to its wide array of etiologies and clinical manifestations. This narrative review aims to equip general ophthalmologists with a comprehensive understanding of anterior uveitis epidemiology, diagnosis, and treatment. Particular emphasis is placed on developing a tailored and stepwise strategy, rather than a one-size-fits-all approach, for the workup and treatment of anterior uveitis.

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This case report presents bilateral anterior uveitis (BAU) in a 26-year-old male concurrently infected with HIV and syphilis, highlighting a rare and complex clinical presentation. BAU, typically linked with systemic diseases, poses significant diagnostic and therapeutic challenges when co-occurring with such infections. Despite common associations with posterior uveitis in co-infected individuals, this patient displayed BAU, underscoring the variability in ocular manifestations.

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Article Synopsis
  • Syphilis can present in various ways, including ocular symptoms that may resemble Behçet's disease, highlighting the importance of distinguishing between the two conditions.
  • A case involving a 38-year-old Thai man with Behçet's panuveitis developed complications from ocular syphilis despite initially negative tests, showcasing the complexity of diagnosis when immunomodulatory therapy is used.
  • Treatment with intravenous penicillin G led to improvement, emphasizing the need for careful reevaluation and biopsy in cases where clinical presentations overlap.
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Article Synopsis
  • Parinaud oculoglandular syndrome is a rare, unilateral eye condition characterized by granulomatous conjunctivitis and swollen lymph nodes, often caused by infections like cat scratch disease or tularemia.
  • A case study illustrates a 66-year-old man who developed this syndrome after eye injury from a twig and was treated successfully with antibiotics after initial symptoms suggested tularemia.
  • Diagnosis can be difficult, and if cat scratch disease is ruled out, other zoonotic infections like tularemia should be considered; timely treatment with fluoroquinolones or aminoglycosides is crucial for recovery.
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Purpose: To study clinical characteristics and management outcomes of cases of ocular syphilis co-presenting with scleritis and active uveitis.

Methods: A retrospective analysis of cases diagnosed with ocular syphilis between January 2020 and December 2023 was conducted at a tertiary eye care centre. Clinical records, investigations, and outcomes were reviewed to identify cases with scleritis with active uveitis.

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Uveitis is the inflammation of the uveal tract (i.e., iris, ciliary body, and choroid).

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Background And Objective: Retrospective analysis correlating serologic titers of ocular syphilis with posterior segment manifestations.

Patients And Methods: This study consisted of 40 patients (80 eyes imaged, 68 affected) with positive rapid plasma reagin (RPR) and immunoglobulin G. We collected demographic and presentation data including HIV status, absolute CD4 count, RPR, cerebrospinal fluid-venereal disease research laboratory (CSF-VDRL) test, and retinal zone.

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Syphilis, 'the great imitator', caused by infection, remains a complex and multifaceted disease with a rich history of clinical diversity. This guideline aims to be a comprehensive guide for healthcare workers in Southern Africa, offering practical insights into the epidemiology, pathogenesis, clinical manifestations, diagnostic testing, therapeutic principles, and public health responses to syphilis. Although the syphilis burden has declined over the years, recent data indicate a troubling resurgence, particularly among pregnant women and neonates.

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The Great Imitator Masquerading as Autoimmune Hepatitis and Demystifying as Fulminant Syphilitic Retinitis.

Ocul Immunol Inflamm

April 2024

Department of Ophthalmology, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Article Synopsis
  • Syphilis can present with various clinical symptoms, making diagnosis challenging; in this case, a 62-year-old man initially appeared to have autoimmune hepatitis but was later diagnosed with neurosyphilis after developing severe vision problems.
  • The patient experienced a drop in vision and underwent multiple tests, including a liver biopsy, which suggested autoimmune causes, leading to steroid treatment that may have worsened his condition.
  • Eventually, strong positive serological tests for syphilis and lumbar puncture confirmed the diagnosis, and treatment with systemic penicillin significantly improved his vision and resolved the eye inflammation.
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This report details a case of neurosyphilis manifesting as concurrent ocular and otosyphilis, an uncommon presentation of the disease. Here, we describe the diagnosis and treatment of a 27-year-old immunocompetent Caucasian male who presented with uveitis and tinnitus. Physical exam was consistent with uveitis and audiometric testing revealed bilateral sensorineural hearing loss.

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