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Syphilitic chorioretinitis presenting as a choroidal granuloma
Avantika Dogra1, Mudit Tyagi2, Hrishikesh Kaza3
1Smt Kanuri Santhamma Center for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, Telengana, India.
BMJ Case Reports
|April 9, 2020
Summary
This case report details a rare instance of syphilitic uveitis mimicking a tubercular choroidal granuloma. Prompt diagnosis and antisyphilitic therapy led to complete resolution of the ocular lesion.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Immunology
Background:
- Syphilitic uveitis can present with diverse clinical manifestations.
- Choroidal granulomas are typically associated with tuberculosis, posing a diagnostic challenge.
Observation:
- A patient presented with a choroidal granuloma clinically resembling a tubercular lesion.
- Ocular examination revealed findings suggestive of an inflammatory process.
Findings:
- The patient tested positive for both treponemal (Treponema pallidum hemagglutination assay) and non-treponemal (Venereal Disease Research Laboratory test) syphilis markers.
- The clinical presentation mimicked a tubercular choroidal granuloma.
Implications:
- This case highlights the importance of considering syphilis in the differential diagnosis of choroidal granulomas.
- Early diagnosis and appropriate antisyphilitic treatment are crucial for successful management and visual recovery.
- Syphilis can manifest as a choroidal granuloma, requiring specific diagnostic and therapeutic approaches.
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