Inaugural Syphilitic Uveitis: A Case Report

Case Report

Austin Ophthalmol. 2023; 7(2): 1048.

Inaugural Syphilitic Uveitis: A Case Report

Meriem E*; Younes A; Chaimaa B; Louai S; Amina B

Department of Ophthalmology B, Hospital of Specialties, Rabat, Morocco

*Corresponding author: Meriem Elakhdari Department of Ophthalmology B; Hospital of specialties, Rabat. Morocco. Tel: 0675028586 Email: meriemelakhdari8@gmail.com

Received: April 05, 2023 Accepted: May 12, 2023 Published: May 19, 2023

Abstract

In recent years, there has been a troubling resurgence of the syphilis infection, it is rarely manifests as ophthalmologic involvement. in this presentation, we report the case of a 43 years old male with inaugural syphilitic ocular involvement, the evolution was marked by a clear improvement under antibiotic therapy with corticosteroids.

Keywords: Uveitis; Syphilis; Penicillin G; Chorioretinitis; Papillitis

Introduction

Syphilis is a sexually transmitted illness caused by a Treponema pallidum infection. This disease, known to be a master imitator, can be revealed by diverse clinical manifestations [1]. The ocular involvement in syphilis is rare and may be inaugural and revealing of the disease.

All structures of the eye can be affected, but the uvea is the most frequently affected structure (1-5%) and can manifest as anterior, posterior or pan uveitis [2].

Clinical Case

We report the case of a 43-year-old man, without any particular pathological history and without any notion of unprotected sexual intercourse, presenting a rapidly progressive unilateral decrease in visual acuity associated with ocular redness and photophobia, without any other associated extra-ocular signs.

The ophthalmological examination revealed an initial visual acuity of 1/10 non-improvable in the right eye and 9/10 in the left eye, anterior segment without anomaly and normal intra-ocular pressure, in the right eye minimal hyalitis at one cross, and in the left eye papillary hyperemia with a poor macula reflection, tortuous vessels, and venous loops, while the left eye was normal.

The general examination revealed no abnormalities.

Fluorescein angiography was performed and showed late papillary diffusion with diffuse and deep areas of hyperfluorescence, vasculitis and macular edema confirmed by the OCT (Figure 2).

Citation:Meriem E, Younes A, Chaimaa B, Louai S, Amina B. Inaugural Syphilitic Uveitis: A Case Report. Austin Ophthalmol. 2023; 7(2): 1048.