A Case of Syphilis with a Rare Finding: Subretinal Hypopyon
Ocular Immunology and Inflammation, cilt.31, sa.7, ss.1315-1319, 2023 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Kısa Makale
- Cilt numarası: 31 Sayı: 7
- Basım Tarihi: 2023
- Doi Numarası: 10.1080/09273948.2023.2168702
- Dergi Adı: Ocular Immunology and Inflammation
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, MEDLINE, Veterinary Science Database
- Sayfa Sayıları: ss.1315-1319
- Anahtar Kelimeler: Ocular syphilis, optic neuritis, retinitis, subretinal hypopyon, syphilis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: To report clinical features and follow-up of a case with subretinal hypopyon due to syphilis infection. Case presentation: We present a case of syphilis admitted with optic neuritis and treated with intravenous pulse steroids without antibiotics. The patient was referred to the uvea clinic in the follow-up because of decreased vision and the onset of multiple retinitis foci. We determined subretinal hypopyon in the left eye and a positive TPHA test. A significant regression was observed in retinitis and hypopyon with antibiotic therapy. Conclusion: Before starting a steroid treatment, infective etiologies should be considered in patients with optic neuritis. Treating with a high dosage of steroids without antibiotics in syphilis would worsen the clinical features and prognosis.