PDF(Pubmed)
Abstract：
Neurosyphilis is one form of a multisystemic sexually transmitted disease caused by Treponema pallidum. Although typical presentations of neurosyphilis have become less common in the post-antibiotic era, a rising trend of atypical presentations can mimic other diagnoses like herpes simplex and autoimmune encephalitis. In this case, we diagnosed neurosyphilis in a patient with clinical and radiological features similar to herpes simplex encephalitis. We emphasize the need for a diagnostic approach combining imaging namely MRI, lumbar puncture, and use of treponemal and non-treponemal tests so that neurosyphilis cases with atypical neuroimaging findings are not overlooked.
摘要：
神经梅毒是由梅毒螺旋体引起的多系统性传播疾病的一种形式。尽管神经梅毒的典型表现在后抗生素时代变得不那么常见，非典型表现的上升趋势可以模拟其他诊断，如单纯疱疹和自身免疫性脑炎。在这种情况下,我们在临床和放射学特征与单纯疱疹性脑炎相似的患者中诊断出神经梅毒。我们强调需要一种结合成像的诊断方法，即MRI，腰椎穿刺,以及使用密螺旋体和非密螺旋体测试，以便不忽视具有非典型神经影像学发现的神经梅毒病例。
