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A Case of Neurosyphilis with Acute Optic Neuritis and Trochlear Nerve Palsy in Human Immunodeficiency Virus Infected Male
Jieun Kim1, Hyemi Jung1, Bongyoung Kim1, Yumi Song2, Myungkyoo Ko2, and Hyunjoo Pai1
Departments of 1Internal Medicine and 2Ophthalmology, Hanyang University College of Medicine, Seoul, Korea
Vol.42 Num.4 (p262~265)
With the increase in human immunodeficiency virus (HIV) infection, the incidence of syphilis also increased worldwide presenting with diverse clinical manifestations. We experienced a case of symptomatic early neurosyphilis manifesting as optic neuritis and trochlear nerve palsy with typical skin lesions of secondary syphilis in an HIV-Infected patient. Intravenous penicillin and oral steroid were administered for 2 weeks. Skin lesions improved after a week, and ocular lesions resolved completely after eight weeks of treatment.
Keywords : Neurosyphilis, Optic neuritis, Trochlear nerve palsy, Human immunodeficiency virus (HIV)