Bonito Bruno, Cartucho Joana, Silva Monica F, Ferreira Maia Inês, Ginga Maria do Rosário
Internal Medicine, Centro Hospitalar Barreiro Montijo, Barreiro, PRT.
Cureus. 2025 May 8;17(5):e83704. doi: 10.7759/cureus.83704. eCollection 2025 May.
Syphilis is transmitted via sexual contact and spreads through the lymphatic and hematologic systems. Ocular syphilis is an uncommon yet serious manifestation of syphilis that can cause significant vision impairment. This report presents a case of ocular syphilis in a 41-year-old otherwise healthy woman who presented with left-sided blurry vision and ocular discomfort. Examination confirmed decreased visual acuity and optic disc swelling in the left eye. Magnetic resonance imaging findings suggested optic neuritis. After ruling out other causes of optic neuritis and considering the presentation and diagnostic tests, including nontreponemal and treponemal, the diagnosis of ocular syphilis was confirmed. The patient was started on ceftriaxone and fully recovered.
梅毒通过性接触传播，并经淋巴和血液系统扩散。眼梅毒是梅毒一种不常见但严重的表现形式，可导致严重的视力损害。本报告介绍了一名41岁身体健康的女性眼梅毒病例，该患者出现左侧视力模糊和眼部不适。检查证实左眼视力下降和视盘肿胀。磁共振成像结果提示视神经炎。在排除视神经炎的其他病因并综合临床表现及包括非梅毒螺旋体和梅毒螺旋体检测在内的诊断性检查后，确诊为眼梅毒。患者开始使用头孢曲松治疗并完全康复。
