Matlow A G, Rachlis A R
Department of Microbiology, Hospital for Sick Children, Toronto, Ontario, Canada.
Rev Infect Dis. 1990 Jul-Aug;12(4):703-7. doi: 10.1093/clinids/12.4.703.
The clinical and serologic diagnosis of syphilis in the human immunodeficiency virus-infected patient may be difficult to make. We have recently seen a case of symptomatic neurosyphilis in such a patient presenting with positive serum and CSF syphilis serology. On the basis of this case and similar cases reported in the literature, we conclude that most, if not all, human immunodeficiency virus-infected patients with symptomatic neurosyphilis will have an elevated serum and CSF syphilis serology. However, experience with additional cases will be necessary in order to validate this conclusion.
对感染人类免疫缺陷病毒的患者进行梅毒的临床和血清学诊断可能会有困难。我们最近遇到一例此类患者出现症状性神经梅毒，其血清和脑脊液梅毒血清学检测呈阳性。基于该病例及文献中报道的类似病例，我们得出结论：大多数（即便不是全部）有症状性神经梅毒的人类免疫缺陷病毒感染患者血清和脑脊液梅毒血清学检测结果会升高。然而，为验证这一结论，还需要更多病例的经验。
