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Ariza Hutchinson V, Shnawa A, Lerner DP, Wener K, Cervantes-Arslanian A, Burns JD. Gummatous Neurosyphilis With Transient Worsening of Neurological Symptoms After Treatment Initiation. Neurohospitalist 2023; 13:403-405. [PMID: 37701263 PMCID: PMC10494825 DOI: 10.1177/19418744231175564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/14/2023] Open
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.
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Affiliation(s)
- Valeria Ariza Hutchinson
- Division of Neurology, Lahey Hospital and Medical Center, Burlington, MA, USA
- Department of Neurology, Tufts University School of Medicine, Boston MA, USA
| | - Aya Shnawa
- Division of Neurology, Lahey Hospital and Medical Center, Burlington, MA, USA
- Department of Neurology, Tufts University School of Medicine, Boston MA, USA
| | - David P. Lerner
- Department of Neurology, SUNY Downstate Medical School, Brooklyn, NY, USA
- Department of Neurology, Brookdale Hospital and Medical Center, Brooklyn, NY, USA
| | - Kenneth Wener
- Division of Infectious Diseases, Lahey Hospital and Medical Center, Burlington, MA, USA
| | - Anna Cervantes-Arslanian
- Department of Neurology, Boston Medical Center, Boston, MA, USA
- Department of Neurology, Boston University School of Medicine, Boston, MA, USA
| | - Joseph D. Burns
- Division of Neurology, Lahey Hospital and Medical Center, Burlington, MA, USA
- Department of Neurology, Tufts University School of Medicine, Boston MA, USA
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Acash G, Wener K, Lamb CR, liesching T. FEVER AND EOSINOPHILIA IN A 35-YEAR-OLD WOMAN WITH A HISTORY OF ASTHMA. Chest 2008. [DOI: 10.1378/chest.134.4_meetingabstracts.c34002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Yadavalli GK, Wener K, Lee J, Salata RA, Heinzel FP. Postoperative IFNγ Synthetic Capacity Is Impaired After On-Pump Cardiac Surgery, But Is Preserved After Off-Pump Surgery in Younger Individual. Chest 2003. [DOI: 10.1378/chest.124.4_meetingabstracts.103s-a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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