Associated with syphilis 1 case of orbital abscess.docVIP

 PAGE \* MERGEFORMAT 6 Associated with syphilis 1 case of orbital abscess [Keywords:] syphilis 1 Case Report Patients, female, 65 years, mainly due to right internal canthus and cheek swelling 2a, right eye visual loss with proptosis 1mo into the hospital. Conscious, the body no rash. Right eye medial canthus to the bridge of the nose can be seen at a limited mass, size about 1.0cm 1.5cm, the surface swelling, hard, no tenderness and sense of volatility. Vision: Right: no light perception, Left: 0.6. IOP. eyelid swelling, right eye fixed to the front of the prominent, conspicuous Degree: right eye 21mm, left 16mm, IPD 58mm. the right eyes was significantly higher pressure, light conjunctiva hyperemia, corneal transparency, KP (), housing the water clean, clear iris texture. pupil diameter: right eye 2mm, 3mm left . right eye direct light reflex, indirect light reaction exists. no obvious lens opacity. fundus: optic white color, borders blur, gray posterior pole edema, scattered at the point sheet hemorrhage, macular structure was normal. left the basic normal. the body is not palpable superficial lymph node enlargement, heart and lung auscultation normal, liver and spleen not palpable ribs, extremities and spine without abnormal, pathological reflex was not elicited. visual evoked potential waveform right eye was not elicited. electrocardiogram, chest radiograph no significant exception. illustrations for the orbital and sinus CT imaging, can be seen: the medial orbital wall, the lateral rectus muscle can be seen above the high density of irregular soft tissue and surrounding the ball, optic nerve (Fig. 1A, B, edge blur, the right frontal sinus and ethmoid sinus seen in the massive soft tissue, showing expansive growth, the right orbital sinus week and discontinuous orbital wall of cortical bone, bone destruction (Figure 1C. syphilis serum reagin test (RPR) 1:32, syphilis antibody positive for Mycobacterium tuberculosis antibody test (). continuous i