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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina E-Jurnal Medika Udayana Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Ophthalmologica Indonesiana
N. K. Niti Susila, N. K.
Bagian SMF Mata Fakultas Kedokteran Universitas Udayana
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Public Health

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Journal : Ophthalmologica Indonesiana

 1 
Management Ocular Syphilis in Human Immunodeficiency Virus (HIV) Patients Alexander Theodore Samosir; N. K. Niti Susila; I Gutsi Ayu Made Juliari; Ida Ayu Ary Paramita; I Made Agus Kusumadjaja
Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v48i1.100455

Abstract

Introduction: Ocular syphilis is a rare manifestation of syphilis. Ocular syphilis manifestations vary and can occur at all stages of the disease. Syphilis can affect all eye structures, the main complaint is blurred vision, accompanied by non-specific symptoms such as pain in the eye, and does not respond to steroids. Case: The male patient, 54 years old, presents with complaints of both eyes slowly getting worse with a history of sexual multi-partners. Visual acuity in both eyes were light perception bad projection, ophthalmological examination showed cloudy lens, cloudy vitreous, cell (+) flare (+) right eye optic nerve, hyperemia, and left eye optic nerve, pale at temporal. VDRL results: reactive> 1: 512 and TPHA: reactive> 1: 5120. The patient was diagnosed with late latent syphilis and neurosyphilis observation from the Dermatology and Venereology Department and received benzathine penicillin injection therapy. From the Neurology Department the patient was diagnosed with neuro-syphilis and was consulted to VCT department with pre-HAART Stage IV HIV infection (WHO). After receiving penicillin therapy and topical steroids, the patient was experienced improvement in visual acuity. Conclusion: In HIV patients without antiretroviral therapy, Treponema pallidum infection is more common and has manifestations such as ocular syphilis and neurosyphilis. Treatment of ocular syphilis using topical steroids to reduce inflammation and penicillin as the main antibiotic.
Co-Authors A. A. Mas-Putrawati Alexander Theodore Samosir Anak Agung Gde Arisena Asmara Anak Agung Mas Putrawati Triningrat Cokorda Istri Dewiyani Pemayun H. S. Habiba Muhiddin, H. S. Habiba Hendra Santoso I Gusti Ayu Made Juliari I Ketut Suastika I Made Bakta I Made Gede Dwipayana Putra I Made Surya Dinajaya I Nyoman Wande I Wayan Putu Sutirta Yasa Ida Ayu Ary Paramita Ida Ayu Ary Pramita Kadek Ayu Dorinda Sari Komang Putra Tridiyoga Made Agus Kusumadjaja Made Sukmawati Ni Nyoman Sri Budayanti Nyoman Yenny K, Nyoman Putu Budhiastra Putu Budhiastra Putu Budhiastra Sianny Herawati