An Unusual Case of Unilateral Papilledema
Neuroretinitis from neurosyphilis is an uncommon finding in previously healthy young individuals. A 37-year-old presented with three days of painless, unilateral vision loss with an associated diffuse erythematous non-pruritic truncal rash. Physical exam demonstrated vision loss in the left eye. Fun...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2019-11-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/7641s559 |
| _version_ | 1829458200659755008 |
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| author | Daniel Quesada Matthew Stapleton Jadipak Heer Phillip Aguìñiga-Navarrete Luke Kim |
| author_facet | Daniel Quesada Matthew Stapleton Jadipak Heer Phillip Aguìñiga-Navarrete Luke Kim |
| author_sort | Daniel Quesada |
| collection | DOAJ |
| description | Neuroretinitis from neurosyphilis is an uncommon finding in previously healthy young individuals. A 37-year-old presented with three days of painless, unilateral vision loss with an associated diffuse erythematous non-pruritic truncal rash. Physical exam demonstrated vision loss in the left eye. Fundoscopic exam showed unilateral peripapillary hemorrhage, papilledema and venous engorgement. Labs showed positive syphilis antibody qualitative. Magnetic resonance imaging demonstrated 12 millimeters of high right frontal lobe cerebrospinal fluid density. The patient was treated with benzylpenicillin and within 18 hours had improvement of his vision. |
| first_indexed | 2024-12-12T06:44:36Z |
| format | Article |
| id | doaj.art-8f1d34a7a9b341b28a8448d157abe27d |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-12-12T06:44:36Z |
| publishDate | 2019-11-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-8f1d34a7a9b341b28a8448d157abe27d2022-12-22T00:34:13ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-11-013410.5811/cpcem.2019.8.43461cpcem-03-444An Unusual Case of Unilateral PapilledemaDaniel Quesada0Matthew Stapleton1Jadipak Heer2Phillip Aguìñiga-Navarrete3Luke Kim4Kern Medical Center, Department of Emergency Medicine, Bakersfield, CaliforniaKern Medical Center, Department of Emergency Medicine, Bakersfield, CaliforniaKern Medical Center, Department of Emergency Medicine, Bakersfield, CaliforniaKern Medical Center, Department of Emergency Medicine, Bakersfield, CaliforniaKern Medical Center, Department of Emergency Medicine, Bakersfield, CaliforniaNeuroretinitis from neurosyphilis is an uncommon finding in previously healthy young individuals. A 37-year-old presented with three days of painless, unilateral vision loss with an associated diffuse erythematous non-pruritic truncal rash. Physical exam demonstrated vision loss in the left eye. Fundoscopic exam showed unilateral peripapillary hemorrhage, papilledema and venous engorgement. Labs showed positive syphilis antibody qualitative. Magnetic resonance imaging demonstrated 12 millimeters of high right frontal lobe cerebrospinal fluid density. The patient was treated with benzylpenicillin and within 18 hours had improvement of his vision.https://escholarship.org/uc/item/7641s559 |
| spellingShingle | Daniel Quesada Matthew Stapleton Jadipak Heer Phillip Aguìñiga-Navarrete Luke Kim An Unusual Case of Unilateral Papilledema Clinical Practice and Cases in Emergency Medicine |
| title | An Unusual Case of Unilateral Papilledema |
| title_full | An Unusual Case of Unilateral Papilledema |
| title_fullStr | An Unusual Case of Unilateral Papilledema |
| title_full_unstemmed | An Unusual Case of Unilateral Papilledema |
| title_short | An Unusual Case of Unilateral Papilledema |
| title_sort | unusual case of unilateral papilledema |
| url | https://escholarship.org/uc/item/7641s559 |
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