以复发性中风为表现的神经梅毒病例。
Case of neurosyphilis presented as recurrent stroke.
作者信息
Ahamed Sudheer, Varghese Mammen, El Agib El Noor, Ganesa V S, Aysha Marai
出版信息
Oman Med J. 2009 Apr;24(2):134-6. doi: 10.5001/omj.2009.29.
Abstract
A 46 year old male patient was presented with a history of hypertension, diabetes mellitus and coronary artery disease was reported to have had a cerebrovascular accident of which features were suggestive of a new and rapidly progressive stroke. Upon investigation for recurrent stroke, the patient was found to have a positive serology for Syphilis. The possibility of neurosyphilis was considered, which was later confirmed by positive serology in the cerebrospinal fluid. The case is lenghly discussed in this report to emphasize the presence of syphilis in the 21st century, and to ascertain its importance as an etiological agent in cases of recurrent stroke.
摘要
一名46岁男性患者有高血压、糖尿病和冠状动脉疾病史，据报告曾发生脑血管意外，其特征提示为新发且进展迅速的中风。在对复发性中风进行调查时，发现该患者梅毒血清学检测呈阳性。考虑到神经梅毒的可能性，后来脑脊液血清学检测呈阳性证实了这一点。本报告详细讨论了该病例，以强调21世纪梅毒的存在，并确定其作为复发性中风病因的重要性。
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