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Bilateral optic disc swelling resulting from lymphocytic meningitis and posterior uveitis secondary to syphilis
- Source :
- BMJ Case Rep
- Publication Year :
- 2023
-
Abstract
- Idiopathic intracranial hypertension (IIH) is being diagnosed more often in the UK due to the rise in obesity. In fact, patients who present with bilateral optic disc swelling are habitually put on the papilloedema pathway, often without consideration of other diagnoses. We report the case of a middle-aged woman diagnosed with papilloedema and managed as IIH, until, cerebrospinal fluid (CSF) analysis revealed evidence of lymphocytic meningitis secondary to syphilis. The patient was treated successfully with intravenous antibiotics. Syphilis is the great masquerader and should be a diagnosis to consider in patients who have CSF findings incongruent with their clinical presentation.
- Subjects :
- medicine.medical_specialty
Lymphocytic meningitis
Optic Disk
Case Report
03 medical and health sciences
0302 clinical medicine
Cerebrospinal fluid
medicine
Humans
Meningitis
Syphilis
Pseudotumor Cerebri
business.industry
Cranial nerves
Uveitis, Posterior
General Medicine
Middle Aged
medicine.disease
eye diseases
Surgery
Posterior uveitis
030221 ophthalmology & optometry
Optic disc swelling
Female
Presentation (obstetrics)
business
030217 neurology & neurosurgery
Papilledema
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....3b8a60902eca587eacaded7ded49fed2