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Unusual association of diseases/symptoms
Case report
Syphilitic chorioretinitis presenting as a choroidal granuloma
  1. Avantika Dogra1,
  2. Mudit Tyagi2,
  3. Hrishikesh Kaza3 and
  4. Avinash Pathengay4
  1. 1Smt Kanuri Santhamma Center for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, Telengana, India
  2. 2Uveitis and Ocular Immunology Services, Smt Kanuri Santhamma Center for Vitreoretinal Diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India
  3. 3Uveitis and Ocular Immunology Services, LV Prasad Eye Institute, Hyderabad, Telangana, India
  4. 4Uveitis and Retina Services, LV Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India
  1. Correspondence to Dr Mudit Tyagi; drmudittyagi{at}gmail.com

Abstract

A rare case of syphilitic uveitis presenting as a choroidal granuloma is described in this case report. The clinical picture resembled that of a tubercular choroidal granuloma. However, the patient was positive for treponemal (treponema pallidum hemagglutination assay) as well as non-treponemal tests (venereal disease research laboratory test) for syphilis. Therefore, the patient was treated for ocular syphilis and responded to antisyphilitic therapy. There was a complete resolution of the lesion at the end of 14 days of treatment.

  • retina
  • syphilis
  • infectious diseases

https://doi.org/10.1136/bcr-2019-234022

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    Footnotes

    • Contributors AD contributed in writing the manuscript, in the acquisition of images and data, and in the analysis and management of the case. MT supervised the conception of the work and management of case. HK helped in the acquisition and analysis of data. AP helped in the overall management of the case.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.