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Related Concept Videos

Sexually Transmitted Infections01:26

Sexually Transmitted Infections

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Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
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Optic Neuritis As the Initial Presentation of Syphilis.

Bruno Bonito1, Joana Cartucho1, Monica F Silva1

  • 1Internal Medicine, Centro Hospitalar Barreiro Montijo, Barreiro, PRT.

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Ocular syphilis, an uncommon vision impairment complication of syphilis, can be effectively treated. Prompt diagnosis and treatment with ceftriaxone led to a full recovery in a case of optic neuritis.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Neurology

Background:

  • Syphilis, a sexually transmitted infection, can spread systemically, affecting various organs.
  • Ocular syphilis is a rare but severe manifestation, potentially leading to significant vision loss.

Observation:

  • A 41-year-old woman presented with blurred vision and ocular discomfort in her left eye.
  • Clinical examination revealed decreased visual acuity and optic disc swelling, suggestive of optic neuritis.

Findings:

  • Magnetic resonance imaging supported the diagnosis of optic neuritis.
  • A comprehensive diagnostic workup, including nontreponemal and treponemal tests, confirmed ocular syphilis.
  • The patient received ceftriaxone treatment.

Implications:

  • This case highlights the importance of considering ocular syphilis in the differential diagnosis of optic neuritis.
  • Early detection and appropriate antibiotic therapy, such as ceftriaxone, are crucial for successful visual recovery.
  • Increased awareness among clinicians can improve patient outcomes for this serious condition.