CASE REPORT

Late latent syphilis accompanied by ocular syphilis in a geriatric patient: a case report

Ni Made Dwi Puspawati , Anak Agung Gede Putra Wiraguna, I Gusti Agung Ayu Elis Indira, Ida Ayu Diah Purnama Sari

Ni Made Dwi Puspawati
Dermatology and Venereology Department, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia. Email: dwi.puspawati@yahoo.com

Anak Agung Gede Putra Wiraguna
Dermatology and Venereology Department, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia

I Gusti Agung Ayu Elis Indira
Dermatology and Venereology Department, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia

Ida Ayu Diah Purnama Sari
Dermatology and Venereology Department, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia
Online First: April 01, 2020 | Cite this Article
Puspawati, N., Wiraguna, A., Indira, I., Sari, I. 2020. Late latent syphilis accompanied by ocular syphilis in a geriatric patient: a case report. Bali Medical Journal 9(1): 208-210. DOI:10.15562/bmj.v9i1.1645


Background: Syphilis is an infectious disease caused by Treponema pallidum and is transmitted primarily through sexual intercourse. However, late latent syphilis accompanied by ocular syphilis in geriatric patients is quite seldom. This study aims to determine a case report regarding late latent syphilis accompanied by ocular syphilis in a geriatric patient.

Case Description: A 75 years old man, was consulted from the Ophthalmology Department to the Dermatology and Venereology Department with suspect syphilis. Patient came with a chief complaint of blurred vision in the right eye since 2 weeks ago, which is getting worse since 4 days ago. The laboratory results of complete blood routine, renal function tests, liver function tests, blood sugar levels are within normal limits. The titer result of VDRL was 1:16 and TPHA was 1: 160. Based on anamnesis, physical and laboratory examination, the patient was diagnosed with late latent syphilis and ocular syphilis. The patient was given three weekly interval dose of Benzathine Penicillin G 2.4 million international units intramuscularly.

Conclusion: One-month follow-up after the treatment, the patient's condition improved. Blurred vision in the right eye was reduced. There are no complaints of headache and hearing loss.

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