A 48-year-old Caucasian man with unilateral "smudge" in inferior visual field.
Malini V PasrichaRobert N JohnsonAnita AgarwalJ Michael JumperH Richard McDonaldEmmett T CunninghamPublished in: Retinal cases & brief reports (2022)
There have been an increasing number of reports of syphilis patients, especially in the population of men who have sex with men, who present with fundus findings similar to acute retinal necrosis. These findings include a characteristic ground glass, translucent appearance of unifocal or multifocal lesions, primarily affecting the inner retina and sometimes associated with co-localizing occlusive vasculitis. Treatment with IV penicillin G is warranted and has demonstrated good visual recovery.
Keyphrases
- men who have sex with men
- hiv testing
- hiv positive
- diabetic retinopathy
- end stage renal disease
- chronic kidney disease
- ejection fraction
- optical coherence tomography
- liver failure
- prognostic factors
- optic nerve
- human immunodeficiency virus
- emergency department
- intensive care unit
- south africa
- adverse drug
- aortic dissection
- extracorporeal membrane oxygenation
- replacement therapy
- sickle cell disease
- antiretroviral therapy
- hiv infected