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BEARING DOWN ON TREPONEMES: AN ATYPICAL PRESENTATION OF SYPHILITIC UVEITIS

Daniel G Cherfan¹, Andrew W Browne¹, Ryan Deasy¹

¹Department of Ophthalmology, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio.

Retinal Cases & Brief Reports

|October 10, 2018

Abstract

Purpose:

To present an atypical case of syphilis that presented with findings concerning for endocarditis and valsalva retinopathy.

Methods:

History and clinical examination of 42-year-old white man who presented to the emergency department with acute onset vision changes associated with gastrointestinal symptoms, otalgia, and constitutional symptoms.

Results:

The review of this case highlights the atypical nature in which syphilis can present and can remain undiagnosed even in the face of extensive workups for other systemic conditions.

Conclusion:

We present a case of syphilis in a patient with multiorgan involvement in whom the diagnosis was made based on atypical ocular examination findings.

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