Panuveitis as a manifestation of ocular syphilis leading to HIV diagnosis
Syphilis is a rare cause of panuveitis. We present the case of a 33-year-old man who presented with diminution of vision of three months duration in his left eye (OS), without any other systemic illness. Ophthalmic examination showed features of pauveitis with dense vitreous exudates, disc pallor an...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Oman Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2010;volume=3;issue=1;spage=29;epage=31;aulast=Chhablani |
| _version_ | 1811284299739037696 |
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| author | Jay Kumar Chhablani J Biswas S Sudharshan |
| author_facet | Jay Kumar Chhablani J Biswas S Sudharshan |
| author_sort | Jay Kumar Chhablani |
| collection | DOAJ |
| description | Syphilis is a rare cause of panuveitis. We present the case of a 33-year-old man who presented with diminution of vision of three months duration in his left eye (OS), without any other systemic illness. Ophthalmic examination showed features of pauveitis with dense vitreous exudates, disc pallor and sheathing of vessels on fundoscopy. A diagnosis of probable endogenous endophthalmitis was made and vitreous tap performed. Vitreous biopsy showed no growth of fungus or bacteria. Rapid plasma reagin (RPR) and Treponema pallidum hemagglutination (TPHA) test were positive. Enzyme-Linked Immuno Sorbent Assay (ELISA) and Western Blot test were then performed, which revealed concurrent HIV infection. The patient improved dramatically with intravenous penicillin therapy. HIV positive patients may present with panuveitis secondary to ocular syphilis, as the only presenting feature in HIV positive patient in absence of any other systemic features. |
| first_indexed | 2024-04-13T02:26:34Z |
| format | Article |
| id | doaj.art-68fd99c4c3884fcda117a06d0d547467 |
| institution | Directory Open Access Journal |
| issn | 0974-620X |
| language | English |
| last_indexed | 2024-04-13T02:26:34Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Oman Journal of Ophthalmology |
| spelling | doaj.art-68fd99c4c3884fcda117a06d0d5474672022-12-22T03:06:45ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2010-01-0131293110.4103/0974-620X.60019Panuveitis as a manifestation of ocular syphilis leading to HIV diagnosisJay Kumar ChhablaniJ BiswasS SudharshanSyphilis is a rare cause of panuveitis. We present the case of a 33-year-old man who presented with diminution of vision of three months duration in his left eye (OS), without any other systemic illness. Ophthalmic examination showed features of pauveitis with dense vitreous exudates, disc pallor and sheathing of vessels on fundoscopy. A diagnosis of probable endogenous endophthalmitis was made and vitreous tap performed. Vitreous biopsy showed no growth of fungus or bacteria. Rapid plasma reagin (RPR) and Treponema pallidum hemagglutination (TPHA) test were positive. Enzyme-Linked Immuno Sorbent Assay (ELISA) and Western Blot test were then performed, which revealed concurrent HIV infection. The patient improved dramatically with intravenous penicillin therapy. HIV positive patients may present with panuveitis secondary to ocular syphilis, as the only presenting feature in HIV positive patient in absence of any other systemic features.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2010;volume=3;issue=1;spage=29;epage=31;aulast=ChhablaniHIVocular syphilis in HIVsyphilitic panuveitis in HIV |
| spellingShingle | Jay Kumar Chhablani J Biswas S Sudharshan Panuveitis as a manifestation of ocular syphilis leading to HIV diagnosis Oman Journal of Ophthalmology HIV ocular syphilis in HIV syphilitic panuveitis in HIV |
| title | Panuveitis as a manifestation of ocular syphilis leading to HIV diagnosis |
| title_full | Panuveitis as a manifestation of ocular syphilis leading to HIV diagnosis |
| title_fullStr | Panuveitis as a manifestation of ocular syphilis leading to HIV diagnosis |
| title_full_unstemmed | Panuveitis as a manifestation of ocular syphilis leading to HIV diagnosis |
| title_short | Panuveitis as a manifestation of ocular syphilis leading to HIV diagnosis |
| title_sort | panuveitis as a manifestation of ocular syphilis leading to hiv diagnosis |
| topic | HIV ocular syphilis in HIV syphilitic panuveitis in HIV |
| url | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2010;volume=3;issue=1;spage=29;epage=31;aulast=Chhablani |
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