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Revista do Instituto de Medicina Tropical de São Paulo

versão impressa ISSN 0036-4665versão On-line ISSN 1678-9946

Resumo

ROMAO, Elen A. et al. OCULAR SYPHILIS IN A KIDNEY TRANSPLANT RECIPIENT. Rev. Inst. Med. trop. S. Paulo [online]. 2016, vol.58, 46.  Epub 24-Maio-2016. ISSN 1678-9946.  https://doi.org/10.1590/S1678-9946201658046.

We present a case of ocular syphilis after a renal transplantation involving progressive vision loss without clinically identifiable ocular disease. Electroretinography showed signs of ischemia, especially in the internal retina. A serological test was positive for syphilis. Lumbar puncture revealed lymphocytic meningitis and a positive serologic test for syphilis in the cerebrospinal fluid. The patient was treated with penicillin, and had a quick vision improvement. In the case of transplant recipients, clinicians should always consider the diagnosis of ocular syphilis in cases with unexplained visual acuity decrement, as this condition may cause serious complications if not treated.

Palavras-chave : Kidney transplant; Syphilis; Ocular syphilis.

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