Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report

BACKGROUND: Ocular syphilis is often difficult to diagnose because of the wide variation in clinical features. HIV co-infection may further complicate the picture. CASE PRESENTATION: Herein the authors report an unusual primary syphilitic ocular lesion in a 45-year-old Italian HIV-infected bisexual...

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Autores principales: Cillino, Salvatore, Di Pace, Francesco, Trizzino, Marcello, Vecchi, Valentina Li, Di Carlo, Paola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3517902/
https://www.ncbi.nlm.nih.gov/pubmed/23006858
http://dx.doi.org/10.1186/1471-2334-12-226
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author Cillino, Salvatore
Di Pace, Francesco
Trizzino, Marcello
Vecchi, Valentina Li
Di Carlo, Paola
author_facet Cillino, Salvatore
Di Pace, Francesco
Trizzino, Marcello
Vecchi, Valentina Li
Di Carlo, Paola
author_sort Cillino, Salvatore
collection PubMed
description BACKGROUND: Ocular syphilis is often difficult to diagnose because of the wide variation in clinical features. HIV co-infection may further complicate the picture. CASE PRESENTATION: Herein the authors report an unusual primary syphilitic ocular lesion in a 45-year-old Italian HIV-infected bisexual man who presented with a unilateral eyelid lesion. Associated precocious signs and symptoms in the posterior segment of both eyes, bilateral chorioretinitis and uveitis, are described. Intravenous penicillin and steroid treatment produced a rapid improvement in clinical status and complete resolution. CONCLUSIONS: Careful questioning about sexual behavior is crucial for unmasking unusual features of ocular syphilis in HIV-infected subjects.
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spelling pubmed-35179022012-12-10 Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report Cillino, Salvatore Di Pace, Francesco Trizzino, Marcello Vecchi, Valentina Li Di Carlo, Paola BMC Infect Dis Case Report BACKGROUND: Ocular syphilis is often difficult to diagnose because of the wide variation in clinical features. HIV co-infection may further complicate the picture. CASE PRESENTATION: Herein the authors report an unusual primary syphilitic ocular lesion in a 45-year-old Italian HIV-infected bisexual man who presented with a unilateral eyelid lesion. Associated precocious signs and symptoms in the posterior segment of both eyes, bilateral chorioretinitis and uveitis, are described. Intravenous penicillin and steroid treatment produced a rapid improvement in clinical status and complete resolution. CONCLUSIONS: Careful questioning about sexual behavior is crucial for unmasking unusual features of ocular syphilis in HIV-infected subjects. BioMed Central 2012-09-25 /pmc/articles/PMC3517902/ /pubmed/23006858 http://dx.doi.org/10.1186/1471-2334-12-226 Text en Copyright ©2012 Cillino et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Cillino, Salvatore
Di Pace, Francesco
Trizzino, Marcello
Vecchi, Valentina Li
Di Carlo, Paola
Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report
title Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report
title_full Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report
title_fullStr Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report
title_full_unstemmed Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report
title_short Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report
title_sort chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an hiv-infected patient: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3517902/
https://www.ncbi.nlm.nih.gov/pubmed/23006858
http://dx.doi.org/10.1186/1471-2334-12-226
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