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A Case of Acute Interstitial Keratitis in a Patient with Acquired Syphilis
Journal of the Korean Ophthalmological Society ; : 226-229, 2017.
Artigo em Coreano | WPRIM | ID: wpr-27484
ABSTRACT

PURPOSE:

To report a case of acute interstitial keratitis as the first clinical sign in a patient with latent syphilis. CASE

SUMMARY:

A 23-year-old female presented with visual impairment and discomfort in her right eye that developed 3 days earlier. The visual acuity in the right eye was 20/200 and corrected to 20/100, and slit lamp examination showed round sub-epithelial opacification in the central cornea with stromal edema and neovascularization on the cornea of the right eye. Whole body tests including serological tests were performed. Under the suspicion of acute interstitial keratitis, topical antibiotics and steroids were applied 4 times a day initially. Serological tests were reactive for venereal disease research laboratory test (VDRL). Under the suspicion of acute interstitial keratitis due to syphilis, fluorescent treponemal antibody absorption test IgM/IgG (FTA-ABS IgM/IgG) was performed; a positive result for FTA-ABS IgG led to diagnosis of acute interstitial keratitis with latent syphilis. During treatment, systemic doxycycline 200 mg for 4 weeks with topical antibiotics and steroids were administered, the opacity and edema of the cornea regressed after 2 weeks of treatment, and visual acuity in the patient's right eye improved to 20/20.

CONCLUSIONS:

We report an unusual case of acute interstitial keratitis as the first clinical manifestation of latent syphilis in an immunocompetent patient.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Esteroides / Sífilis Latente / Treponema pallidum / Transtornos da Visão / Imunoglobulina G / Testes Sorológicos / Sífilis / Infecções Sexualmente Transmissíveis / Acuidade Visual / Teste de Absorção do Anticorpo Treponêmico Fluorescente Tipo de estudo: Estudo diagnóstico Limite: Feminino / Humanos Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Esteroides / Sífilis Latente / Treponema pallidum / Transtornos da Visão / Imunoglobulina G / Testes Sorológicos / Sífilis / Infecções Sexualmente Transmissíveis / Acuidade Visual / Teste de Absorção do Anticorpo Treponêmico Fluorescente Tipo de estudo: Estudo diagnóstico Limite: Feminino / Humanos Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Ano de publicação: 2017 Tipo de documento: Artigo