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Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report.
BMC Infect Dis. 2012 Sep 25; 12:226.BI

Abstract

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.

Authors+Show Affiliations

Department of Experimental Biomedicine and Clinical Neuroscience, Ophthalmology Section, University of Palermo, Via Liborio Giuffrè 13, 90127, Palermo, Italy. salvatore.cillino@unipa.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23006858

Citation

Cillino, Salvatore, et al. "Chancre of the Eyelid as Manifestation of Primary Syphilis, and Precocious Chorioretinitis and Uveitis in an HIV-infected Patient: a Case Report." BMC Infectious Diseases, vol. 12, 2012, p. 226.
Cillino S, Di Pace F, Trizzino M, et al. Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report. BMC Infect Dis. 2012;12:226.
Cillino, S., Di Pace, F., Trizzino, M., Li Vecchi, V., & Di Carlo, P. (2012). Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report. BMC Infectious Diseases, 12, 226. https://doi.org/10.1186/1471-2334-12-226
Cillino S, et al. Chancre of the Eyelid as Manifestation of Primary Syphilis, and Precocious Chorioretinitis and Uveitis in an HIV-infected Patient: a Case Report. BMC Infect Dis. 2012 Sep 25;12:226. PubMed PMID: 23006858.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chancre of the eyelid as manifestation of primary syphilis, and precocious chorioretinitis and uveitis in an HIV-infected patient: a case report. AU - Cillino,Salvatore, AU - Di Pace,Francesco, AU - Trizzino,Marcello, AU - Li Vecchi,Valentina, AU - Di Carlo,Paola, Y1 - 2012/09/25/ PY - 2012/03/04/received PY - 2012/09/21/accepted PY - 2012/9/26/entrez PY - 2012/9/26/pubmed PY - 2013/4/30/medline SP - 226 EP - 226 JF - BMC infectious diseases JO - BMC Infect Dis VL - 12 N2 - 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. SN - 1471-2334 UR - https://www.unboundmedicine.com/medline/citation/23006858/Chancre_of_the_eyelid_as_manifestation_of_primary_syphilis_and_precocious_chorioretinitis_and_uveitis_in_an_HIV_infected_patient:_a_case_report_ L2 - https://bmcinfectdis.biomedcentral.com/articles/10.1186/1471-2334-12-226 DB - PRIME DP - Unbound Medicine ER -