BACKGROUND: Ocular syphilis is often difficult to diagnose because of the wide variation in clinical features.HIV co-infection may further complicate the picture. CASE PRESENTATION: Herein the authors report an unusual primary syphilitic ocular lesion in a 45-year-old Italian HIV-infected bisexual man who presented with a unilateral eyelid lesion. Associated precocious signs and symptoms in the posterior segment of both eyes, bilateral chorioretinitis and uveitis, are described. Intravenous penicillin and steroid treatment produced a rapid improvement in clinical status and complete resolution. CONCLUSIONS: Careful questioning about sexual behavior is crucial for unmasking unusual features of ocular syphilis in HIV-infected subjects.

Cillino, S., Di Pace, F., Trizzino, M., Li Vecchi, V., & Di Carlo, P. (2012). Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report. BMC INFECTIOUS DISEASES, 12(1) [10.1186/1471-2334-12-226].

Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report.

CILLINO, Salvatore;DI PACE, Francesco;TRIZZINO, Marcello;LI VECCHI, Valentina;DI CARLO, Paola
2012

Abstract

BACKGROUND: Ocular syphilis is often difficult to diagnose because of the wide variation in clinical features.HIV co-infection may further complicate the picture. CASE PRESENTATION: Herein the authors report an unusual primary syphilitic ocular lesion in a 45-year-old Italian HIV-infected bisexual man who presented with a unilateral eyelid lesion. Associated precocious signs and symptoms in the posterior segment of both eyes, bilateral chorioretinitis and uveitis, are described. Intravenous penicillin and steroid treatment produced a rapid improvement in clinical status and complete resolution. CONCLUSIONS: Careful questioning about sexual behavior is crucial for unmasking unusual features of ocular syphilis in HIV-infected subjects.
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Cillino, S., Di Pace, F., Trizzino, M., Li Vecchi, V., & Di Carlo, P. (2012). Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report. BMC INFECTIOUS DISEASES, 12(1) [10.1186/1471-2334-12-226].
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/65314
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