Because of its ubiquitous nature, it has been coined as "the great masquerader."
Syphilis can present with a wide array of clinical symptoms and manifestations, making it difficult to diagnose.
The spectrum of visual system manifestations is broad and involves the anterior and posterior segments.
We report a rare case of ocular perineuritis in an HIV-positive patient with neurosyphilis.
CASE REPORT.: A 33-year-old HIV-positive white male presented with blurred vision and floaters of 2 weeks duration. He reported coinciding neurological symptoms including headaches, nausea, and extreme weight loss.
He also manifested an erythematous rash on his scalp.
Fundoscopy revealed bilateral disc edema.
CONCLUSIONS.: Syphilitic ocular perineuritis is a condition that manifests with swollen optic discs in the absence of raised intracranial pressure or visual disturbance.
This condition is due to inflammation of the optic nerve sheath and is often mistaken for papilledema or papillitis.
Optic perineuritis is an infrequently reported complication of syphilitic disease.
Early diagnosis of neurosyphilis and its complications is critical, because it is easily treated with penicillin when initiated early on. ================ Me thinks they too missed the boat.
-------------------- Suspected Lyme 07 Test neg One band migrating in IgG region unable to identify.Igenex Jan.09IFA titer 1:40 IND IgM neg pos 31 +++ 34 IND 39 IND 41 IND 83-93 + DX:Neuroborreliosis Posts: 5850 | From Kentucky | Registered: Dec 2008
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- Relevant to that:
Syphilis has 23 genes where Lyme has over 250. Borrelia can also insert its DNA into that of a host. Mitochrondial damage is another whole topic.
GiGi Posted this From Scott's notes of recent Lyme Conference:
Dr. K believes that comparing Lyme disease to syphilis is misleading.
** Syphilis has 23 genes where Lyme has over 250. **
It is like comparing "cabbage with a dog". Borrelia is a far more evolved organism.
He posed the question, "What if these bugs could exchange their DNA such that the gene responsible for producing a certain toxin was transferred to harmless bacteria in the oral cavity or in normal gut flora."
It becomes clear that these microbes are highly intelligent.
(GiGi / Scott) ----------------
The original quote is probably at one of these two sites:
Pinelady
Frequent Contributor (5K+ posts)
Member # 18524
posted
Thanks for that info Keebler.
May help others who expect more from testing that right now they can only do so much...
As for this poor guy....
-------------------- Suspected Lyme 07 Test neg One band migrating in IgG region unable to identify.Igenex Jan.09IFA titer 1:40 IND IgM neg pos 31 +++ 34 IND 39 IND 41 IND 83-93 + DX:Neuroborreliosis Posts: 5850 | From Kentucky | Registered: Dec 2008
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