_BMC Infectious Diseases_ (http://www.biomedcentral.com/bmcinfectdis)
_Volume 11_ (http://www.biomedcentral.com/bmcinfectdis/11)
(http://www.biomedcentral.com/info/about/openaccess/) Case report
Neurosyphilis manifesting with unilateral visual loss and hyponatremia: a
case report
Katrin Milger (http://www.biomedcentral.com/logon/logon.asp?msg=ce) ,
Vera Fleig (http://www.biomedcentral.com/logon/logon.asp?msg=ce) , Anke
Kohlenberg (http://www.biomedcentral.com/logon/logon.asp?msg=ce) , Thomas
Discher (http://www.biomedcentral.com/logon/logon.asp?msg=ce) and Juergen
Lohmeyer (http://www.biomedcentral.com/logon/logon.asp?msg=ce)
BMC Infectious Diseases 2011, 11:17doi:10.1186/1471-2334-11-17
Published:
15 January 2011
Abstract (provisional)
Background
Syphilis 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 presentation
We 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.
Conclusion
Awareness of syphilis as a differential diagnosis is important as
previously unreported presentations of neurosyphilis can arise, especially in HIV
infected patients.
The complete article is available as a _provisional PDF_
(http://www.biomedcentral.com/content/pdf/1471-2334-11-17.pdf) . The fully formatted PDF and
HTML versions are in production.
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