到处都是变色龙。

Chameleons everywhere.

作者信息

Sprenger Katharina, Furrer Hansjakob

机构信息

Department of Emergency, Hirslandenklinik Bern, Bern, Switzerland.

Institut für Infektionskrankheiten, Universitätsspital Bern, Bern, Switzerland.

出版信息

BMJ Case Rep. 2014 Nov 24;2014:bcr2014205608. doi: 10.1136/bcr-2014-205608.

DOI:10.1136/bcr-2014-205608

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4244326/

Abstract

We report the case of an HIV-infected man returning from Thailand with secondary syphilis with general symptoms, hepatitis and a pulmonary mass lesion. A cerebrospinal fluid examination showed no signs of neurosyphilis. Two months after successful treatment with benzathine penicillin he presented with a mass lesion in the brain suspected to be a glioma or glioblastoma, which turned out to be a syphilitic gumma. Syphilis remains a great imitator in clinical medicine. Syphilitic brain gummata can develop within a few months.

摘要

我们报告了一例从泰国返回的感染艾滋病毒的男子，他患有二期梅毒，伴有全身症状、肝炎和肺部肿块病变。脑脊液检查未显示神经梅毒迹象。用苄星青霉素成功治疗两个月后，他出现脑部肿块病变，怀疑是胶质瘤或胶质母细胞瘤，结果却是梅毒瘤。梅毒在临床医学中仍然是一种极具迷惑性的疾病。梅毒脑梅毒瘤可在数月内形成。

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