单侧梅毒性葡萄膜炎病例报告：诊断挑战与床旁超声的作用
A Case Report of Unilateral Syphilitic Uveitis: A Diagnostic Challenge and the Role of Point-of-care Ultrasound.
作者信息
Gutierrez-Luke Susana, Wolf Thijs, Green Kyle, Graber Philip
机构信息
University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York.
University of Rochester Medical Center, Department of Ophthalmology, Rochester, New York.
出版信息
Clin Pract Cases Emerg Med. 2024 Feb;8(1):42-45. doi: 10.5811/cpcem.1435.
INTRODUCTION
Syphilis presents with diverse clinical manifestations, posing challenges for diagnosis, especially in the fast-paced emergency department (ED) setting.
CASE REPORT
We report a rare case of unilateral syphilitic uveitis in an individual who had been sexually abstinent for 13 years. Using ocular point-of-care ultrasound in the ED, we successfully diagnosed this uncommon ocular manifestation.
CONCLUSION
Our case highlights the diagnostic challenges of ocular syphilis and emphasizes the crucial nature of timely identification. Collaborative efforts with specialties such as ophthalmology are essential in overcoming these challenges.
引言
梅毒有多种临床表现，给诊断带来挑战，尤其是在节奏快的急诊科环境中。
病例报告
我们报告一例罕见的单侧梅毒性葡萄膜炎病例，患者已禁欲13年。在急诊科使用即时眼部超声检查，我们成功诊断出了这种不常见的眼部表现。
结论
我们的病例突出了眼部梅毒的诊断挑战，并强调了及时识别的关键性质。与眼科等专科的合作对于克服这些挑战至关重要。
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