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{
    "pk": 740,
    "title": "An Unusual Case of Unilateral Papilledema",
    "subtitle": null,
    "abstract": "Neuroretinitis from neurosyphilis is an uncommon finding in previously healthy young individuals. A 37-year-old presented with three days of painless, unilateral vision loss with an associated diffuse erythematous non-pruritic truncal rash. Physical exam demonstrated vision loss in the left eye. Fundoscopic exam showed unilateral peripapillary hemorrhage, papilledema and venous engorgement. Labs showed positive syphilis antibody qualitative. Magnetic resonance imaging demonstrated 12 millimeters of high right frontal lobe cerebrospinal fluid density. The patient was treated with benzylpenicillin and within 18 hours had improvement of his vision.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7641s559",
    "frozenauthors": [
        {
            "first_name": "Daniel",
            "middle_name": "",
            "last_name": "Quesada",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California; LA+USC Medical Center, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Stapleton",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Jadipak",
            "middle_name": "",
            "last_name": "Heer",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Phillip",
            "middle_name": "",
            "last_name": "Aguìñiga-Navarrete",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        },
        {
            "first_name": "Luke",
            "middle_name": "",
            "last_name": "Kim",
            "name_suffix": "",
            "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California",
            "department": "None"
        }
    ],
    "date_submitted": "2019-10-21T21:58:31+02:00",
    "date_accepted": "2019-10-21T21:58:31+02:00",
    "date_published": "2019-10-21T21:59:10+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/740/galley/495/download/"
        }
    ]
}