Okhotsimskaia S A, Sogreeva E N, Lavrov A Iu, Taktamysheva E Sh
Vestn Oftalmol. 1998 Mar-Apr;114(2):52-3.
A 43-year-old woman with alcoholism developed hearing loss, dizziness, unsteady walking, frequent urination, memory disorders, and later a manifest drop of bilateral vision. The patient denied syphilis. Examinations revealed bilateral panuveitis, bilateral neurosensory amblyacusia, vestibulopathy, and imperative urges to urination. Serological tests were positive with both Treponema and other than Treponema antigens. The cerebrospinal fluid was normal. Ampicillin therapy was ineffective. The clinical picture, diagnosis, and treatment of syphilitic uveitis are discussed; the authors point out that it is often associated with neurosyphilis. The condition is extremely rare nowadays.
一名43岁的酗酒女性出现听力丧失、头晕、行走不稳、尿频、记忆障碍，随后双侧视力明显下降。患者否认感染梅毒。检查发现双侧全葡萄膜炎、双侧神经性听力减退、前庭病变以及急迫性尿意。梅毒螺旋体及非梅毒螺旋体抗原的血清学检测均呈阳性。脑脊液正常。氨苄西林治疗无效。文中讨论了梅毒性葡萄膜炎的临床表现、诊断和治疗；作者指出，梅毒性葡萄膜炎常与神经梅毒相关。如今这种情况极为罕见。
