THIS IS the first report of the presence of Treponema pallidum found on biopsy of the nasopharynx. Furthermore, the spirochetes were found after massive penicillin therapy. The organisms were identified by specific immunofluorescent staining, Krajian silver impregnation, and by passive transfer to the rabbit. The patient presented with blindness and ophthalmoplegia resembling a bilateral cavernous sinus syndrome.
Report of a Case
This 39-year-old Negro woman (775745) was first seen June 13, 1967, because of headaches and progressive visual loss for four months. But for transient left-sided focal seizures in 1959 and again in 1963, the patient was well until February 1967. Dental extractions were then performed and two weeks later right sided headaches began. Within a short period of time a profound visual loss occurred, the headaches became bilateral, and the left eye became swollen. In early June, the left-sided jacksonian seizures recurred, and progressed to generalized convulsions.Because of
Gager WE, Smith JL, Israel CW. Nasopharyngeal Syphilis With Blindness. Arch Otolaryngol. 1969;90(5):641–646. doi:10.1001/archotol.1969.00770030643022
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