OCULAR SYPHILIS IN A KIDNEY TRANSPLANT RECIPIENT.

Autor: Romao EA; School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil., Bolella VR; School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil., Nardin ME; School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil., Habib-Simao ML; School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil., Furtado JM; School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil., Moyses-Neto M; School of Medicine, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
Jazyk: angličtina
Zdroj: Revista do Instituto de Medicina Tropical de Sao Paulo [Rev Inst Med Trop Sao Paulo] 2016; Vol. 58, pp. 46. Date of Electronic Publication: 2016 May 24.
DOI: 10.1590/S1678-9946201658046
Abstrakt: We present a case of ocular syphilis after a renal transplantation involving progressive vision loss without clinically identifiable ocular disease. Electroretinography showed signs of ischemia, especially in the internal retina. A serological test was positive for syphilis. Lumbar puncture revealed lymphocytic meningitis and a positive serologic test for syphilis in the cerebrospinal fluid. The patient was treated with penicillin, and had a quick vision improvement. In the case of transplant recipients, clinicians should always consider the diagnosis of ocular syphilis in cases with unexplained visual acuity decrement, as this condition may cause serious complications if not treated.
Databáze: MEDLINE