The unfaithful neuritis

Luca De Simone; Francesco Pellegrini; Daniele Cirone; Luca Cimino; Julie Falardeau

doi:10.1016/j.survophthal.2018.05.006

The unfaithful neuritis

Surv Ophthalmol. 2018 Nov-Dec;63(6):875-879. doi: 10.1016/j.survophthal.2018.05.006. Epub 2018 May 31.

Authors

Luca De Simone¹, Francesco Pellegrini², Daniele Cirone³, Luca Cimino⁴, Julie Falardeau⁵

Affiliations

¹ Department of Ophthalmology, University Campus Bio-Medico of Rome, Rome, Rome, Italy; Immunology Eye Unit, Azienda USL IRCCS, Reggio Emilia, Reggio Emilia, Italy.
² Neuro-Ophthalmology Service, Department of Ophthalmology, "De Gironcoli" Hospital, Conegliano, Treviso, Italy.
³ Uveitis Service, Department of Ophthalmology, Villa Anna Hospital, San Benedetto del Tronto, Ascoli Piceno, Italy.
⁴ Immunology Eye Unit, Azienda USL IRCCS, Reggio Emilia, Reggio Emilia, Italy. Electronic address: l.cimino64@gmail.com.
⁵ Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA.

PMID: 29859200
DOI: 10.1016/j.survophthal.2018.05.006

Abstract

A 55-year-old man with a history of mantle cell lymphoma reported acute blurred vision in the right eye. Although initially diagnosed with acute retrobulbar optic neuritis, 3 weeks later retinal infiltrates and vitritis developed, but vitrectomy resulted negative for vitreoretinal lymphoma. Further investigation revealed a serology positive for syphilis. This case highlights the role of the ophthalmologist in the diagnosis of syphilis, which is able to mimick multiple eye disorders, optic neuritis, and vitreoretinal lymphoma among others.

Keywords: mottled retinitis; optic neuritis; syphilis; vitreoretinal lymphoma.

Publication types

Case Reports

MeSH terms

Humans
Male
Middle Aged
Optic Neuritis / diagnosis*
Retinitis / diagnosis
Syphilis / diagnosis*