neurosyphilis


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neurosyphilis

[¦nu̇r·ō′sif·ə·ləs]
(medicine)
Syphilitic infection of the nervous system.
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Doctors are convinced that the man has neurosyphilis, which is a rare infection and a complication arising when syphilis infection was left untreated.
Due to common use of antibiotics and increased frequency of HIV infection; neurosyphilis may present with various clinical features.
Therefore, at the time of diagnosis of progressive general paralysis (PGP (neurosyphilis) to Nietzsche at the Basel and Iena clinics in 1889, when bacteriology was incipient, there was some correlation for the nineteenth-century medical reason between syphilis, gonorrhea, and chancroid around the style of thought linked to venereal evil and mercury.
PML, Cryptococcal meningitis, toxoplasmosis and neurosyphilis reported were similar to the findings of two other studies by Abayomi et al and Rana at al.16,17
Other medical illnesses identified included epilepsy, neurosyphilis, previous traumatic brain injury and previous tuberculous meningitis, each occurring in one (2.38%) patient; the patients with epilepsy and neurosyphilis were diagnosed as having a psychotic disorder owing to these conditions.
We noted the stages of syphilis and the presence of neurosyphilis in the 21 patients with ocular syphilis (Figure 2).
Treatment with intravenous penicilin 4x6 millionU/day that lasted 14 days and concomitant steroid (oral prednisone 60 mg daily and tapered over days) was started to avoid Jarisch-Herxheimer reaction, that may occur in up to one third of patents treated by penicilline for neurosyphilis. The patient status rapidly improved and visual acuity at discharge was 40/200 in the right eye and 20/200 in the left eye.
There are many causes of hiccups including gastric distention, aerophagia, ventriculoperitoneal shunts, hydrocephalus, multiple sclerosis, strokes, epidural or subdural hematomas, diffuse axonal injury, cerebral contusions, encephalitis, meningitis, brain abscesses, neurosyphilis, laryngitis, pharyngitis, irritation of the tympanic membrane, retropharyngeal abscess, peritonsillar abscesses, mediastinitis, esophagitis, bronchitis, pneumonia, myocardial infarction, pericarditis, aortic aneurysms, pericarditis, misplaced pacemaker wires, small bowel obstruction, perihepatitis, subphrenic abscess, goiter, tumor or cyst of the neck, barbiturates, steroids, methyldopa, and electrolyte abnormalities [1-4].
Browning, "Posterior segment manifestations of active ocular syphilis, their response to a neurosyphilis regimen of penicillin therapy, and the influence of human immunodeficiency virus status on response," Ophthalmology, vol.
Neurosyphilis is a known complication from infection with Treponema pallidum that has many different types of ocular manifestations [1].
The granulomatous pathological pattern causes meningeal thickening like in other kinds of entities such as neurosarcoid, neurosyphilis, pachymeningitis, and lymphoma [5, 7].