OCULAR SYPHILIS IN A KIDNEY TRANSPLANT RECIPIENT

Autor: Elen A. ROMAO, Valdes R. BOLELLA, Maria Estela P. NARDIN, Maria Lucia HABIB-SIMAO, João Marcelo FURTADO, Miguel MOYSES-NETO
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Revista do Instituto de Medicina Tropical de São Paulo, Vol 58, Iss 0 (2016)
Druh dokumentu: article
ISSN: 1678-9946
DOI: 10.1590/S1678-9946201658046
Popis: 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.
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