RT Journal Article
SR Electronic
T1 Optic neuritis caused by the re-emerging great masquerader
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e225635
DO 10.1136/bcr-2018-225635
VO 11
IS 1
A1 Nathanial S Nolan
A1 Laura E Gibbons
A1 Madihah A Hepburn
A1 Ahmed Elkeeb
A1 Hariharan Regunath
YR 2018
UL http://casereports.bmj.com/content/11/1/e225635.abstract
AB A 49-year-old Caucasian woman presented with subacute headache and right eye pain associated with scotoma, blurred vision and photophobia. MRI was suggestive of optic neuritis of the right optic nerve and she was treated with steroids. Due to persistent symptoms, a lumbar puncture was performed and cerebrospinal fluid analysis was positive for venereal disease research laboratory and rapid plasma reagin titres. On further history, she recalled experiencing an illness associated with diffuse rash, likely secondary syphilis, 1–2 months prior. She tested negative for HIV. She was treated with intravenous penicillin for 2 weeks following which she experienced improvement in symptoms.