Clinical Practice and Cases in Emergency Medicine (Jan 2024)

A Case Report of Unilateral Syphilitic Uveitis: A Diagnostic Challenge and the Role of Point-of-care Ultrasound

  • Susana Gutierrez-Luke,
  • Thijs Wolf,
  • Kyle Green,
  • Philip Graber

DOI
https://doi.org/10.5811/cpcem.1435
Journal volume & issue
Vol. 8, no. 1
pp. 42 – 45

Abstract

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Introduction: Syphilis presents with diverse clinical manifestations, posing challenges for diagnosis, especially in the fast-paced emergency department (ED) setting. Case Report: We report a rare case of unilateral syphilitic uveitis in an individual who had been sexually abstinent for 13 years. Using ocular point-of-care ultrasound in the ED, we successfully diagnosed this uncommon ocular manifestation. Conclusion: Our case highlights the diagnostic challenges of ocular syphilis and emphasizes the crucial nature of timely identification. Collaborative efforts with specialties such as ophthalmology are essential in overcoming these challenges.