BACKGROUND Syphilis is often known as the "Great Imitator". The differential diagnosis of @entity23351 is broad with @entity2194 being particularly challenging to diagnose as it presents similarly to other ocular conditions such as @entity7592 . CASE REPORT A 34-year-old @entity1 with multiple sexual partners over the past few years presented with @entity158 and progressively worsening unilateral @entity1018 for 2 weeks. Several months prior, she had reported non-specific symptoms of @entity10 and @entity1910 . Despite treatment with oral @entity1033 for 3 weeks, her vision progressively declined, and she was referred to the university ophthalmology clinic for further evaluation. On examination, there was concern for @entity7592 and she was empirically treated with parenteral @entity1033 while awaiting further @entity166 study results. Workup ultimately revealed @entity2194 , and @entity13911 was additionally confirmed with cerebrospinal fluid studies. Treatment with intravenous @entity114 was promptly initiated with complete visual recovery. CONCLUSIONS @entity2194 varies widely in presentation and should be considered in all @entity1 with @entity23351 , especially with a history of @entity10 and @entity1910 . However, given that @entity7592 is a more common cause of @entity23351 and can rapidly result in permanent @entity1018 , it should be empirically treated whenever it is suspected while simultaneous workup is conducted to evaluate for alternative diagnoses.

The Great Imitator: Ocular Syphilis Presenting as XXXX .

@entity1 :: ('9606', 'Species') :: ['woman', 'patients'] @entity1018 :: ('MESH:D054062', 'Disease') :: ['vision loss'] @entity2194 :: ('MESH:D005128', 'Disease') :: ['Ocular syphilis', 'ocular syphilis'] @entity1033 :: ('MESH:D000212', 'Chemical') :: ['acyclovir'] @entity13911 :: ('MESH:D009494', 'Disease') :: ['neurosyphilis'] @entity1910 :: ('MESH:D005076', 'Disease') :: ['diffuse skin rash', 'skin rashes'] @entity114 :: ('MESH:D010406', 'Chemical') :: ['penicillin'] @entity7592 :: ('MESH:D015882', 'Disease') :: ['acute retinal necrosis'] @entity23351 :: ('MESH:D015866', 'Disease') :: ['posterior uveitis'] @entity158 :: ('MESH:D010146', 'Disease') :: ['painful'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity166 :: ('MESH:D003141', 'Disease') :: ['infectious disease']
@entity23351 :: (MESH:D015866,Disease) :: ['Posterior Uveitis']
