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Optic neuritis caused by the re-emerging great masquerader.
- Source :
-
BMJ case reports [BMJ Case Rep] 2018 Dec 22; Vol. 11 (1). Date of Electronic Publication: 2018 Dec 22. - Publication Year :
- 2018
-
Abstract
- 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.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Acute Disease
Cerebrospinal Fluid microbiology
Eye Pain cerebrospinal fluid
Eye Pain diagnosis
Female
Headache cerebrospinal fluid
Headache diagnosis
Humans
Middle Aged
Optic Neuritis cerebrospinal fluid
Optic Neuritis diagnosis
Scotoma cerebrospinal fluid
Scotoma diagnosis
Spinal Puncture
Syphilis cerebrospinal fluid
Eye Pain microbiology
Headache microbiology
Optic Neuritis microbiology
Scotoma microbiology
Syphilis complications
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 11
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 30580292
- Full Text :
- https://doi.org/10.1136/bcr-2018-225635