6533b7dbfe1ef96bd12714ac
RESEARCH PRODUCT
Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report
Valentina Li VecchiSalvatore CillinoPaola Di CarloFrancesco PaceMarcello Trizzinosubject
Malemedicine.medical_specialtyAnti-Inflammatory AgentsPrimary SyphilisHIV InfectionsCase ReportPenicillinsOcular syphilislcsh:Infectious and parasitic diseasesUveitisLesionHiv infectedmedicineHumanslcsh:RC109-216HIV-infectedChancre of the eyelidSettore MED/30 - Malattie Apparato Visivobusiness.industryOcular syphilis HIV-infected Chancre of the eyelid Bilateral chorioretinitis UveitisChorioretinitisEyelidsMiddle Agedmedicine.diseaseChancreDermatologyBilateral chorioretinitiseye diseasesSurgeryPosterior segment of eyeballTreatment OutcomeInfectious Diseasesmedicine.anatomical_structureChorioretinitisItalyInjections IntravenousSteroidssense organsEyelidmedicine.symptombusinessUveitisChancredescription
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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2012-03-04 | BMC Infectious Diseases |