POOR VISUAL OUTCOMES IN SYPHILITIC UVEITIS ASSOCIATED WITH METHAMPHETAMINE USE: A CASE SERIES.

Q3 Medicine
Jonathan Thomas, Harris Ahmed, Kathryn Halbritter, Moises Enghelberg
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Abstract

Purpose: This study aimed to investigate the potential link between methamphetamine use and infectious syphilitic uveitis through a retrospective chart review of four patients with both conditions.

Methods: A retrospective chart review was conducted on four patients with a history of methamphetamine use and presented with vision loss at an emergency department or clinic that was ultimately diagnosed as syphilitic uveitis.

Results: The average age of the four patients was 41.5 ± 9.8 years, and each presented with symptoms of blurry vision after an average of 3 weeks. Clinical and serologic examinations revealed variable severity of syphilitic uveitis in each patient, and a confirmed history of methamphetamine use was found on a review of social history. Each patient had worsening visual outcomes after the initial presentation and diagnosis.

Conclusion: Syphilitic uveitis is a challenging diagnosis because of its similarity with other ocular pathologies. This case series highlights the importance of maintaining a high level of suspicion for syphilis in patients with a history of methamphetamine use and uveitis to enable rapid treatment and prevent visual decline. The poor visual outcomes observed in these four patients underscore the significance of identifying and treating syphilitic uveitis promptly in this population and the barriers to treatment completion.

与吸食甲基苯丙胺有关的梅毒性葡萄膜炎视力不佳:病例系列。
目的:本研究旨在通过对四名同时患有这两种疾病的患者进行回顾性病历审查,调查吸食甲基苯丙胺与传染性梅毒葡萄膜炎之间的潜在联系:对四名曾有吸食甲基苯丙胺史的患者进行了回顾性病历审查,这些患者在急诊室或诊所出现视力下降,最终被诊断为梅毒性葡萄膜炎:四名患者的平均年龄为(41.5 ± 9.8)岁,平均每名患者在三周后出现视力模糊症状。临床和血清学检查显示,每位患者梅毒性葡萄膜炎的严重程度不一,在回顾社会病史时发现了确凿的甲基苯丙胺使用史。每位患者在初次发病和确诊后,视力都有所恶化:由于梅毒性葡萄膜炎与其他眼部病变相似,因此诊断具有挑战性。本系列病例强调了对有甲基苯丙胺使用史和葡萄膜炎的患者保持高度怀疑梅毒的重要性,以便迅速治疗并防止视力下降。在这四名患者身上观察到的不良视力结果强调了在这一人群中及时发现和治疗梅毒性葡萄膜炎的重要性以及完成治疗的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Retinal Cases and Brief Reports
Retinal Cases and Brief Reports Medicine-Ophthalmology
CiteScore
2.10
自引率
0.00%
发文量
342
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