Postoperative Inflammation as the Presenting Sign of Latent Syphilis

Purpose: To describe an unusual case of latent syphilis that presented with postoperative inflammation. Methods: Case report. Results: A 62-year-old African American woman developed persistent postoperative inflammation following cataract surgery. Despite a regimen of topical corticosteroid, the inf...

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Bibliographic Details
Published in:Ocular immunology and inflammation 2008-05, Vol.16 (3), p.119-120
Main Authors: Yeung, Sonia N., Blicker, Jeffrey A., Maberley, David A.
Format: Article
Language:English
Subjects:
Adrenal Cortex Hormones - therapeutic use
Anti-Bacterial Agents - therapeutic use
Cataract Extraction
chronic inflammation
Female
Humans
latent syphilis
Middle Aged
Penicillin G - therapeutic use
postoperative
Postoperative Complications
Syphilis, Latent - complications
Syphilis, Latent - drug therapy
Treponema pallidum
Uveitis - drug therapy
Uveitis - microbiology
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Summary:Purpose: To describe an unusual case of latent syphilis that presented with postoperative inflammation. Methods: Case report. Results: A 62-year-old African American woman developed persistent postoperative inflammation following cataract surgery. Despite a regimen of topical corticosteroid, the inflammation did not settle. A uveitic workup indicated that the patient had latent syphilis. She was referred to Infectious Disease and the inflammation resolved with intravenous penicillin. Conclusions: Postoperative inflammation has not previously been reported as the first sign of latent syphilis. This report underscores the importance of considering syphilis in the differential diagnosis of chronic inflammation, including the postoperative period.
ISSN:0927-3948
1744-5078
DOI:10.1080/09273940802023828