梅毒性视神经炎1例合并文献复习

A Case of Syphilitic Optic Neuritis with a Combined Literature Review

摘要: 目的：报道1例梅毒性视神经炎的临床特征和诊治要点，分析该病的发生机制及治疗预后。方法：回顾该病例的诊疗过程，并结合相关文献分析该病表现及治疗预后。结果：根据患者病史、症状、体征，全身辅助检查，眼底照相，梅毒血清学及脑脊液检查，诊断为“梅毒性视神经炎左眼”，行青霉素注射治疗，随访5个月，病情稳定。结论：梅毒性视神经炎临床并不常见，早期诊断和及时治疗对于控制病情、提升患者的视功能十分重要。

Abstract: Objective: To report the clinical features and key points of diagnosis and treatment of a case of syphilitic optic neuritis, and to analyze the mechanism of the disease and its treatment prognosis. Methods: The diagnosis and treatment process of the case was reviewed, and the manifestations and treatment prognosis of the disease were analyzed in the light of relevant literature. Results: Based on the patient’s medical history, symptoms, signs, systemic auxiliary examination, fundus photography, syphilis serology and cerebrospinal fluid examination, the patient was diagnosed as “syphilitic optic neuritis of the left eye”, and was treated with penicillin injection, and the condition was stabilised after 5 months of follow-up. Conclusion: Syphilitic optic neuritis is not common in the clinic, and early diagnosis and timely treatment are very important for controlling the disease and improving the patient’s visual function.