Khan Arslan, DiGiuseppe Stephen, Mustafa Moneeb
Osteopathic Medicine, Edward Via College of Osteopathic Medicine, Monroe, USA.
Microbiology, Edward Via College of Osteopathic Medicine, Monroe, USA.
Cureus. 2025 Mar 26;17(3):e81240. doi: 10.7759/cureus.81240. eCollection 2025 Mar.
Tertiary syphilis can cause eye diseases such as ocular syphilis and retinal detachment. Herein, we present a case of a 28-year-old male with no reported past medical history. He presented to the emergency department with complaints of pain, blurriness, and vision loss in his left eye, leading to a fall during a recent ophthalmologist visit. Diagnosis typically relies on detailed clinical examination, lumbar punctures, and serological testing to diagnose and manage the patient's condition. The results of these tests led to the diagnosis of tertiary syphilis-induced ocular syphilis complicated by retinal detachment, which was treated with penicillin G intravenously (IV) daily. The patient was transferred to a long-term acute care facility with an ophthalmologist follow-up post-admission. This case highlights the importance of recognizing and emphasizing timely diagnosis of ocular syphilis and proper disease management as a crucial factor in preventing permanent vision loss.
三期梅毒可引发眼部疾病，如梅毒性眼病和视网膜脱离。在此，我们报告一例28岁男性病例，其既往无病史记录。他因左眼疼痛、视物模糊和视力丧失前往急诊科就诊，近期看眼科医生时还因此摔倒。诊断通常依靠详细的临床检查、腰椎穿刺和血清学检测来诊断和处理患者病情。这些检查结果诊断为三期梅毒引发的梅毒性眼病并伴有视网膜脱离，采用每日静脉注射青霉素G进行治疗。患者被转至长期急性护理机构，入院后由眼科医生进行随访。该病例强调了认识并重视及时诊断梅毒性眼病以及妥善管理疾病对于预防永久性视力丧失的关键作用。
