Neurosyphilis manifesting with unilateral visual loss and hyponatremia: a case report

BMC Infectious Diseases

Case Report

Vera Fleig¹  Jürgen Lohmeyer¹  Thomas Discher¹  Katrin Milger¹  Anke Kohlenberg² 

[1] Department of Internal Medicine II, Justus-Liebig University Giessen, Klinikstr. 36, 35392, Giessen, Germany;Department of Medical Microbiology, Justus-Liebig University Giessen, Frankfurterstr. 107, 35392, Giessen, Germany;

关键词: Human Immunodeficiency Virus;    Human Immunodeficiency Virus Infection;    Syphilis;    Thyroid Stimulate Hormone;    Human Immunodeficiency Virus Infected Patient;   

DOI  :  10.1186/1471-2334-11-17

 received in 2010-05-26, accepted in 2011-01-15,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundSyphilis is called the chameleon of the diseases due to its variety of its clinical presentations, potentially affecting every organ of the body. Incidence of this ancient disease is once again on the increase worldwide.Case presentationWe here report an unusual case of neurosyphilis manifesting with unilateral visual loss and hyponatremia. The patient also had primary syphilitic lesions and was concomitantly diagnosed with Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) infection. Treatment with ceftriaxone and prednisolone, completely resolved the hyponatremia and visual acuity was partially restored.ConclusionAwareness of syphilis as a differential diagnosis is important as previously unreported presentations of neurosyphilis can arise, especially in HIV infected patients.

【 授权许可】

CC BY   
© Milger et al; licensee BioMed Central Ltd. 2011