A case of the human immunodeficiency virus type 1-infected patient presented as a syphilitic papillitis.
- Author:
Hye Won JEONG
1
;
Sung Joo JUNG
;
Myung Gyu KIM
;
Sae Yoon KEE
;
Soon Yong SUH
;
Jong Suk SONG
;
Min Ja KIM
Author Information
1. Department of Internal Medicine, Korea University Medical Center, Korea University College of Medicine, Seoul, Korea. macropha@chollian.net
- Publication Type:Case Report
- Keywords:
Syphilis;
Papilledema;
Uveitis;
Human Immunodeficiency Virus
- MeSH:
Adult;
Anti-Retroviral Agents;
Communicable Diseases;
Disease Progression;
HIV Infections;
HIV*;
HIV-1;
Humans*;
Papilledema*;
Penicillin G;
Syphilis;
Uveitis;
Visual Acuity
- From:Korean Journal of Medicine
2005;68(2):238-242
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The number of HIV infection is increasing nowadays, and some infectious diseases complicated in HIV- infected hosts reveal different clinical features from those well known from the past. Syphilis seems to show more rapid disease progression and many clinical features in HIV-infected hosts. We experienced a HIV-infected patient who had presented as syphilitic papillitis. A 42-year old man complaining of decreased visual acuity and eye ball redness was referred to our medical center. He had a history of recurrent uveitis for past 3 months, which was refractory to the conventional therapy. The patient was confirmed as having HIV-1 infection and syphilitic papillitis. He was treated with penicillin G 2.4 million units intramuscularly weekly for 6 weeks and anti-retroviral agents. However, ocular symptoms for syphilis recurred two months later, and the patient was retreated with the same regimen and cured.
