Challenges in The Management of Ocular Syphilis in Human Immunodeficiency Virus Patient: A Case Report

Nandya Putu Krisnaputri*, Luh Made Mas Rusyati, Ni Made Dwi Puspawati, I Gusti Ayu Risma Paramita, and Putu Ayu Dewita Ganeswari

Abstract

Background: The incidence rate of syphilis has been increasing in recent years. Ocular syphilis can manifest at any stage of syphilis, either with or without Human Immunodeficiency Virus (HIV) co-infection. Case Illustration: A 52-year-old man presented with a complaint of blurred vision persisting for the past 6 months. Visual examination revealed NLP (no light perception) in the right eye and 6/30 in the left eye. Syphilis serology testing was positive. Patient were diagnosed with latent syphilis with ocular syphilis, along with stage I HIV infection. Patient were treated with benzathine penicillin also with antiretroviral therapy for the HIV infection. Conclusion: Syphilis and HIV often occur together and can influence each other. Syphilitic ulcers can serve as the port of entry for HIV infection. In HIV-infected individuals with syphilis, the symptoms of syphilis can be varied due to the immunocompromised state. Benzathine penicillin G is a first-line therapy for ocular syphilis.

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Cite This Article

Krisnaputri, N. P., Rusyati, L. M. M., Puspawati, N. M. D., Paramita, I. G. A. R., Ganeswari, P. A. (2024). Challenges in The Management of Ocular Syphilis in Human Immunodeficiency Virus Patient: A Case Report. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 1: Jan-Feb 2024, Pages 63-65, URL: https://www.ijscia.com/wp-content/uploads/2024/01/Volume5-Issue1-Jan-Feb-No.551-63-65.pdf

Volume 5 | Issue 1: Jan-Feb 2024