Simultaneous Bilateral Exudative Retinal Detachment and Peripheral Necrotizing Retinitis as Presenting Manifestations of Concurrent HIV and Syphilis Infection

Purpose: To describe an unusual case of simultaneous bilateral exudative retinal detachment and peripheral necrotizing retinitis as presenting manifestations of concurrent HIV and syphilis infection. Case report: A previously healthy 35-year-old Caucasian male was first seen for bilateral sudden vis...

Full description

Saved in:
Bibliographic Details
Published in:Ocular immunology and inflammation 2005-12, Vol.13 (6), p.459-462
Main Authors: Díaz-Valle, David, Allen, Daniel Pascual, Sánchez, Angel Arteaga, Aguado, Carlos Barros, Benítez del Castillo, J. M., Aceñero, M. Jesús Fernández
Format: Article
Language:English
Subjects:
Adult
Cardiolipins - analysis
Cholesterol - analysis
Exudates and Transudates
exudative retinal detachment
Follow-Up Studies
HIV - immunology
HIV Antibodies - analysis
HIV infection
HIV Infections - complications
Human immunodeficiency virus
Humans
Male
Ophthalmoscopy
Peripheral necrotizing retinitis
Phosphatidylcholines - analysis
Retinal Detachment - diagnosis
Retinal Detachment - etiology
Retinal Necrosis Syndrome, Acute - diagnosis
Retinal Necrosis Syndrome, Acute - etiology
syphilis
Syphilis - complications
Syphilis Serodiagnosis
Treponema pallidum
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose: To describe an unusual case of simultaneous bilateral exudative retinal detachment and peripheral necrotizing retinitis as presenting manifestations of concurrent HIV and syphilis infection. Case report: A previously healthy 35-year-old Caucasian male was first seen for bilateral sudden visual loss. Ophthalmoscopy showed bilateral exudative retinal detachment involving the posterior pole and a placoid-like area of peripheral necrotizing retinitis in his left eye. Physical examination revealed anal condylomata and aphthous oral lesions. Laboratory investigations confirmed the diagnosis of concurrent HIV and syphilis infection. Ocular lesions resolved in response to anti-syphilitic medication administered for three weeks. Discussion: This case demonstrates the importance of considering syphilis as a cause of atypical retinitis in the HIV-positive population.
ISSN:0927-3948
1744-5078
DOI:10.1080/09273940490912353