关键词: central nervous system infections gumma jarisch– herxheimer reaction neurosyphilis

来  源:   DOI:10.1177/19418744231175564   PDF(Pubmed)

Abstract:
Cerebral syphilitic gumma is an atypical presentation of neurosyphilis, the clinical manifestations of which depend on the size and location of the lesions. It radiologically presents as enhancing nodular lesion(s) in brain parenchyma. We present a case of a patient with cerebral syphilitic gummas who had worsening neurological symptoms a few hours after initiation of anti-syphilitic antibiotic treatment. We aim to illustrate the clinical and radiological characteristics that might be helpful to clinicians when approaching the challenges they might encounter while treating neurosyphilis.
摘要:
脑梅毒性胶瘤是神经梅毒的非典型表现,其临床表现取决于病变的大小和位置。放射学上表现为增强脑实质中的结节性病变。我们介绍了一例患有脑梅毒性树胶瘤的患者,该患者在开始抗梅毒抗生素治疗后数小时神经症状恶化。我们旨在说明临床和放射学特征,这些特征可能对临床医生在治疗神经梅毒时可能遇到的挑战有所帮助。
公众号