A Case of Neurosyphilis with Acute Optic Neuritis and Trochlear Nerve Palsy in Human Immunodeficiency Virus Infected Male.

Author: Jieun KIM ¹ ; Hyemi JUNG ; Bongyoung KIM ; Yumi SONG ; Myungkyoo KO ; Hyunjoo PAI
Author Information

1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. paihj@hanyang.ac.kr
Publication Type:Case Report
Keywords: Neurosyphilis; Optic neuritis; Trochlear nerve palsy; Human immunodeficiency virus (HIV)
MeSH: HIV; Humans; Incidence; Male; Neurosyphilis; Optic Neuritis; Penicillins; Skin; Syphilis; Trochlear Nerve; Trochlear Nerve Diseases
From:Infection and Chemotherapy 2010;42(4):262-265
CountryRepublic of Korea
Language:Korean
Abstract: With the increase in human immunodeficiency virus (HIV) infection, the incidence of syphilis also increased worldwide presenting with diverse clinical manifestations. We experienced a case of symptomatic early neurosyphilis manifesting as optic neuritis and trochlear nerve palsy with typical skin lesions of secondary syphilis in an HIV-Infected patient. Intravenous penicillin and oral steroid were administered for 2 weeks. Skin lesions improved after a week, and ocular lesions resolved completely after eight weeks of treatment.