Uveitis, syphilis and AIDS

• Main Author: A. Sousa, Conceição
• Publication Date: 2000
• Other Authors: Alves, Paulo, Pinto Ferreira, A., Cocco Martins, Conceição, Vital Morgado, A.
• Format: Article
• Language: por
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: https://revista.spmi.pt/index.php/rpmi/article/view/2010
• topic: uveíte; sífilis; SIDA; uveitis; syphilis; AIDS

The authors report on a 55 year-old man,withtreated primary syphilis in his twenties.Since thenfour further episodes were described,the last one,adequately treated,two years ago.A red eye tookhim to the outpatient ophtalmologic clinic where adiagnosis of panuveitis and syphilitic roseola wasmade,and his laboratorial evaluation disclosedVenereal Disease Reseach Laboratory (VDRL)positive; Fluorescent Treponemal AntibodyAbsorbed (FTHA) Test positive; HumanImunodeficiency Virus (HIV) positive.He was admitted for cerebral spinal fluidexamination,which showed pleocitosis,increasedproteins, VDRL negative, TPHA positive, FTA-ABSpositive, compatible with syphilitic envolvement ofCentral Nervous System.Neurosyphilis diagnosis in dually infected patientswith syphilis and HIV is difficult and complex,because it is based on serological tests that don’tfollow the usual pattern.Therapy is also controversial,because there areseveral reported neurological recurrencies afterconventional treatment.A close follow up of thesepatients is recommended.