Ignat F, Davidescu L
Clinica oftalmologică Craiova.
Oftalmologia. 1997;41(3):209-12.
It shows a clinical observation about luetic bilateral keratitis at a young man 17 years old. The high-positive VDRL, the presence of the AT antigen, the bilateral low hearing perception and the left low hearing transmission associated with minimal dental malformations suggest the luetic congenital etiology of the disease. The AT positive-test at the patient's mother (which VDRL is negative) shows a tardive luetic infection during the pregnancy, that has determined the apparition at the fetus of congenital lately lues. The specific antiluetic treatment with Benzylpenicillinum kalicum and Prednisonums the evolution of the disease is spectacularly good. Six weeks after the beginning of the treatment V.A. is 1 at the both eyes and the neoformation vessels are completely obturated. The paper insists on the medical and social implications of the ignored complications of late lues.
这是一项关于一名17岁青年梅毒双侧角膜炎的临床观察。VDRL呈强阳性、存在AT抗原、双侧听力感知降低以及左侧听力传导降低并伴有轻微牙齿畸形，提示该病为先天性梅毒病因。患者母亲的AT检测呈阳性（VDRL阴性），表明孕期存在迟发性梅毒感染，这导致胎儿出现先天性晚期梅毒。使用苄星青霉素和泼尼松进行特异性抗梅毒治疗后，病情进展非常良好。治疗开始六周后，双眼视力均为1，新生血管完全闭塞。本文强调了晚期梅毒被忽视并发症的医学和社会影响。
