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Case Reports |
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)
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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. |
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Keywords : Neurosyphilis, Optic neuritis, Trochlear nerve palsy, Human immunodeficiency virus (HIV) |
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