The patient is a 23 year old African American man who presented to the emergency room for detoxification FROM alcohol abuse. He had no visual complaints on initial presentation. His examination in the emergency room showed a temperature of 101 F., a blood pressure of 116/76, Heart Rate of 80 beats per minute. He also noted to have erythematous macular lesions on both arms and enlarged bilateral inguinal and anterior cervical nodes.
PMHx: none Meds: none SHx: History of alcohol abuse and cocaine abuse. He denies intravenous drug abuse FHx: Non contributory
The patient was admitted to the medicine service and he was placed on broad spectrum antibiotics. His work-up was negative for infection. Several days INTO his admission the patient noted decreased vision and an ophthalmology consult was obtained.