[Luetic uveitis in a patient with AIDS. Case report]

We report on a 33-year-old male Turkish patient with primarily nonsuspect sexual behavior who presented with panuveitis unresponsive to therapy. HIV infection and secondary syphilis was diagnosed. The uveitis was the only manifestation of syphilis. Because of isosporiasis, an HIV infection of CDC class IV C1 was diagnosed. This is the second published case of acquired syphilitic uveitis in a patient with HIV infection. The diagnosis was delayed by a prozone phenomenon. Treatment with high doses of penicillin i.v. for 14 days led to complete recovery. Because the HIV infection may obscure the diagnosis of syphilis, this constellation will assume increasing importance with the growing number of HIV-infected patients.