Zarallo J, Pastor B, Asencio M, Schlincker A, Fonseca A
Servicio de Oftalmología, Hospital Universitario La Paz, Madrid, Spain.
Arch Soc Esp Oftalmol. 2008 Mar;83(3):197-200. doi: 10.4321/s0365-66912008000300012.
Case 1: HIV+ patient presenting unilateral panuveitis. Physical examination showed secondary signs of syphilis. The condition was treated with an excellent result. Case 2: Patient with bilateral panuveitis having received different treatments in another centre for a period of months. In the anamnesis we detected risk factors for AIDS and ordered appropriate tests to be done, with the patient resulting positive for HIV and syphilis. We proceeded to treat.
The incidence of syphilis is rising in developed countries and its manifestations in HIV+ patients can be atypical. An adequate clinical history is fundamental for an early diagnosis. Macrolides can be an alternative treatment in penicillin-allergic patients.