Neurosyphilis and retrobulbar neuritis in a patient with AIDS. NLM AIDSLINE Important note: Information in this article was accurate in 1987. The state of the art may have changed since the publication date.

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Neurosyphilis and retrobulbar neuritis in a patient with AIDS.

Ann Ophthalmol. 1986 Sep;18(9):260-1. Unique Identifier : AIDSLINE MED/87024226
Zaidman GW

Abstract: A 33-year-old homosexual patient with acquired immune deficiency syndrome (AIDS) developed sudden unilateral loss of vision. Slit-lamp and funduscopic examination of the affected eye was completely within normal limits. The patient, however, had a Marcus Gunn pupil, decreased color vision, and a large central scotoma on visual field examination. This was consistent with retrobulbar optic neuritis. Laboratory investigation revealed a highly positive serum and cerebrospinal fluid venereal disease reaction level (VDRL). A diagnosis of neurosyphilis was made, and the patient was treated with ten days of intravenous penicillin therapy. Ophthalmologists should be aware that many patients with AIDS have also been exposed to syphilis. Regardless of their clinical presentation, all AIDS patients should be examined and tested for syphilis and treated as is necessary.
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult Case Report Fluorescein Angiography Human Male Neurosyphilis/*COMPLICATIONS Optic Neuritis/*COMPLICATIONS/PATHOLOGY/PHYSIOPATHOLOGY Visual Fields JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/KWDcomplicationsadultcasereportfluoresceinangiographyhumanmaleneurosyphilis/KWDcomplicationsopticneuritis/KWDcomplications/pathology/physiopathologyvisualfieldsjournalarticle
870130
M8710186

Copyright © 1987 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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