An Unusual Case of Unilateral Papilledema.
Journal
Clinical practice and cases in emergency medicine
ISSN: 2474-252X
Titre abrégé: Clin Pract Cases Emerg Med
Pays: United States
ID NLM: 101718968
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
01
05
2019
revised:
25
07
2019
accepted:
02
08
2019
entrez:
26
11
2019
pubmed:
26
11
2019
medline:
26
11
2019
Statut:
epublish
Résumé
Neuroretinitis from neurosyphilis is an uncommon finding in previously healthy young individuals. A 37-year-old presented with three days of painless, unilateral vision loss with an associated diffuse erythematous non-pruritic truncal rash. Physical exam demonstrated vision loss in the left eye. Fundoscopic exam showed unilateral peripapillary hemorrhage, papilledema and venous engorgement. Labs showed positive syphilis antibody qualitative. Magnetic resonance imaging demonstrated 12 millimeters of high right frontal lobe cerebrospinal fluid density. The patient was treated with benzylpenicillin and within 18 hours had improvement of his vision.
Identifiants
pubmed: 31763614
doi: 10.5811/cpcem.2019.8.43461
pii: cpcem-03-444
pmc: PMC6861040
doi:
Types de publication
Journal Article
Langues
eng
Pagination
444-445Informations de copyright
Copyright: © 2019 Quesada et al.
Déclaration de conflit d'intérêts
Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.
Références
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