PDF(Pubmed)
Abstract：
Syphilis is a chronic infectious disease, which dates back to the XV century and is caused by the spirochete treponema pallidum, capable of invading the central nervous system in any of its stages- Its incidence has increased in parallel to the HIV/AIDS pandemic, and the synergism between both pathologies is such. that it has become a public health problem in recent years. Here we present the case of a 31-year-old female patient, who consulted for headache associated with decreased visual acuity and provided an unenhanced head CT showing hypodense lesions in both thalamic regions, serological tests for syphilis were reactive and those for HIV were not reactive. The brain MRI with spectroscopy was reported in favor of cerebral toxoplasmosis, which was later ruled out with a study of cerebrospinal fluid. Management with penicillin G sodium IV for 6 weeks was indicated, achieving complete imaging resolution of her lesions.
摘要：
梅毒是一种慢性传染病,它可以追溯到十五世纪，是由螺旋体梅毒螺旋体引起的，能够在任何阶段侵入中枢神经系统-其发病率与艾滋病毒/艾滋病流行并行增加，两种病理之间的协同作用就是这样。近年来，它已成为一个公共卫生问题。这里我们介绍一个31岁的女性患者，谁咨询了与视力下降相关的头痛，并提供了未增强的头部CT，显示两个丘脑区域的低密度病变，梅毒的血清学测试是反应性的，而HIV的血清学测试则没有反应性。据报道，脑MRI与光谱学有利于脑弓形虫病，后来一项脑脊液研究排除了这一可能性。使用青霉素G钠IV治疗6周，实现她的病变的完整成像分辨率。
