Neuritis óptica secundaria a sífilis

I. Téllez Guzmán , M.C. Atilano Anzaldo , K.P. Delgado Moreno
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Abstract

Optic neuritis is a rare manifestation of syphilis, and the involvement of the central nervous system should be considered synonymous with neurosyphilis. This infectious disease, well known as ‘the great imitator’, can affect any structure and produce multiple clinical symptoms. Here, we report a case of a 62-year-old male patient who presented to our service with decreased vision and myodesopsias in right eye. The posterior segment showed a hyperemic nerve with peripapillary hemorrhages and retinal pigment epithellium hyperplasia. The patient was recently diagnosed with HIV. Serology for syphilis was positive with posterior decreased levels of nontreponemal test following treatment with ceftriaxone. Optic neuritis can occur at any stage of syphilis and must always be considered a differential diagnosis.

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梅毒继发视神经炎
视神经炎是梅毒的一种罕见表现,中枢神经系统受累应被视为神经梅毒的同义词。这种被称为 "伟大的模仿者 "的传染病可以影响任何结构,并产生多种临床症状。在此,我们报告了一例因视力下降和右眼肌麻痹而就诊的 62 岁男性患者。后段显示神经充血,虹膜周围出血,视网膜色素上皮增生。患者最近被诊断出感染了艾滋病毒。梅毒血清学检查呈阳性,使用头孢曲松治疗后,非抗梅毒试验水平下降。视神经炎可发生在梅毒的任何阶段,必须始终将其视为鉴别诊断。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
109
审稿时长
78 days
期刊介绍: La revista Archivos de la Sociedad Española de Oftalmología, editada mensualmente por la propia Sociedad, tiene como objetivo publicar trabajos de investigación básica y clínica como artículos originales; casos clínicos, innovaciones técnicas y correlaciones clinicopatológicas en forma de comunicaciones cortas; editoriales; revisiones; cartas al editor; comentarios de libros; información de eventos; noticias personales y anuncios comerciales, así como trabajos de temas históricos y motivos inconográficos relacionados con la Oftalmología. El título abreviado es Arch Soc Esp Oftalmol, y debe ser utilizado en bibliografías, notas a pie de página y referencias bibliográficas.
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