Primary ophthalmological diagnosis of Treponema pallidum infection: A case series

This report is on five patients (four men and one woman) between the age of 24 and 66 years old who presented with unclear visual impairment in our clinic between 2009 and 2016 for co-evaluation. The clinical picture included intermediate uveitis, chorioretinitis, panuveitis and bilateral spontaneou...

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Bibliographic Details
Published in:Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft 2019-02, Vol.116 (2), p.172-175
Main Authors: Grassl, D, Brandi Falcone, V, Gorte, K, Sauder, G
Format: Article
Language:ger
Subjects:
Adult
Aged
Chorioretinitis
Female
Humans
Macular Edema
Male
Middle Aged
Syphilis
Treponema pallidum
Visual Acuity
Young Adult
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Summary:This report is on five patients (four men and one woman) between the age of 24 and 66 years old who presented with unclear visual impairment in our clinic between 2009 and 2016 for co-evaluation. The clinical picture included intermediate uveitis, chorioretinitis, panuveitis and bilateral spontaneous cystoid macular edema. None of the patients reported systemic or dermatological symptoms. In all five patients, serological testing revealed a Treponema pallidum infection as the reason for ocular inflammation. The ophthalmologist was therefore the first to discover a syphilitic infection. After initiation of appropriate antibiotic therapy, there was improvement in all five patients and an increase in visual acuity.
ISSN:1433-0423
DOI:10.1007/s00347-018-0712-2