OCULAR SYPHILIS IN A KIDNEY TRANSPLANT RECIPIENT
AUTOR(ES)
ROMAO, Elen A., BOLELLA, Valdes R., NARDIN, Maria Estela P., HABIB-SIMAO, Maria Lucia, FURTADO, João Marcelo, MOYSES-NETO, Miguel
FONTE
Rev. Inst. Med. trop. S. Paulo
DATA DE PUBLICAÇÃO
24/05/2016
RESUMO
We present a case of ocular syphilis after a renal transplantation involving progressive vision loss without clinically identifiable ocular disease. Electroretinography showed signs of ischemia, especially in the internal retina. A serological test was positive for syphilis. Lumbar puncture revealed lymphocytic meningitis and a positive serologic test for syphilis in the cerebrospinal fluid. The patient was treated with penicillin, and had a quick vision improvement. In the case of transplant recipients, clinicians should always consider the diagnosis of ocular syphilis in cases with unexplained visual acuity decrement, as this condition may cause serious complications if not treated.
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