Pacienta in varsta de 31 ani, casatorita, avand 3 copii, domiciliata in orasul vecin, se prezinta la oftalmolog la Spitalul de Recuperare Borsa. Ea acuza o scadere marcata a acuitatii vizuale si o infectie acuta de cai respiratorii superioare. Examinand fundul de ochi, medicul evidentiaza o corioretinita acuta. Examenul clinic general, examenul cutanat si screening biochimic in limite normale. Secretie faringiana: absenta flora patogena. Rx cranian: fara modificari. Rx toracic: ITN. Examen neurologic: fara semne de focar. Tratament initial: Augmentin, steroizi antiinflamatori, trofice vasculare, vasodilatatoare, vitamine B, antiacide, sedative timp de o saptamana. Evolutie clinica modesta. In acest timp laboratorul trimite rezultatele: VDRL++, TPHA+ si leucocitoza. Se reconsidera diagnosticul si tratamentul: corioretinita acuta sifilitica si Penicilina G 3 × 1 mil./unitati/zi timp de 3 saptamani.

Evolutie clinica rapid favorabila, fara recidiva la 6 luni.

Concluzii: datorita manifestarii rare, corioretinita sifilitica reprezinta o specialitate oftalmologica. Totusi, consultul la medicul dermato-venerolog inainte de tratament este benefic, ca si in cazul nostru.

A patient, 31 years aged, married, heaving 3 children, resident in the neighbour town, cames at the Recovering Hospital Borsa at the oftalmologist. She was accusing a strong diminuation in the visual acuity and an acute infection of the superior respiratory tract. Examining the back hinderpart the physician discovers an acute chorioretinitis. General clinical examination, cutaneous examination and a biochemical screening were in normal limits. Pharingeal examination: pathogen microbes absent. Cranian Rx: without changing. Thoracic Rx: normal limits. Neurological examination: without focus signs. Initial treatment: Augmentin, steroids antiinflammation, vascular nutritives, vasodilators, vitamins B, antacids, sedatives for one week.

Poor clinical evolution. In this time, from the laboratory cames the results: VDRL++, TPHA+ and an increasing number of the leucocytes. The diagnosis and the treatment is revised: active syphylitical chorioretinitis and aqueous crystalline Penicilin G 3 × 1 mil. units/day, for three weeks. Rapid and efficient clinical evolution, without recurrence after 6 moths.

Conclusions: due his rarely manifestation, the syphylitical chorioretinitis represent an ophtalmological speciality. However, the consultation at the dermatologist before the treatment is beneficial, as in our case.