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伴有序贯性呼吸并发症的神经梅毒:一例凸显诊断和治疗挑战的病例报告

Neurosyphilis with sequential respiratory complications: A case report highlighting diagnostic and treatment challenges.

作者信息

Majid Hanifa, Ali Sajjad, Raza Fatima A, Jabeen Sidra, Majid Habiba, Sheikh Areeba, Ahmed Muzamil

机构信息

Dow University of Health Sciences, Karachi, Pakistan.

Ziauddin Medical College, Ziauddin University, Karachi, Pakistan.

出版信息

SAGE Open Med Case Rep. 2024 May 29;12:2050313X241256825. doi: 10.1177/2050313X241256825. eCollection 2024.

DOI:10.1177/2050313X241256825
PMID:38817409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11138193/
Abstract

In this case report, we describe the presentation and clinical course of a 25-year-old male with a complex medical history and a fatal outcome due to neurosyphilis. The diagnosis of neurosyphilis-related complications. Neurosyphilis, a variant of tertiary syphilis, is a rare condition but can present with a wide range of neurological symptoms. This makes its diagnosis challenging. The study aims to report and discuss neurosyphilis in a young male, resulting in respiratory complications, and explore the clinical presentation, diagnostic and process, treatment challenges it poses to a tertiary care setup of a third-world country regimen, and the profound significance of this particular case.

摘要

在本病例报告中,我们描述了一名25岁男性的临床表现和病程,该患者有复杂的病史,最终因神经梅毒导致死亡。诊断为神经梅毒相关并发症。神经梅毒是三期梅毒的一种变体,是一种罕见的疾病,但可表现出广泛的神经症状。这使得其诊断具有挑战性。本研究旨在报告和讨论一名年轻男性的神经梅毒病例,该病例导致了呼吸并发症,并探讨其临床表现、诊断及过程、对第三世界国家三级医疗体系治疗方案构成的挑战,以及该特殊病例的深远意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1848/11138193/0d70841e7314/10.1177_2050313X241256825-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1848/11138193/22aa2edd4c55/10.1177_2050313X241256825-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1848/11138193/0ed74f1aa031/10.1177_2050313X241256825-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1848/11138193/0d70841e7314/10.1177_2050313X241256825-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1848/11138193/22aa2edd4c55/10.1177_2050313X241256825-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1848/11138193/0ed74f1aa031/10.1177_2050313X241256825-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1848/11138193/0d70841e7314/10.1177_2050313X241256825-fig3.jpg

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Three cases of neurosyphilis diagnosed in the 21st century: A case report.21世纪确诊的三例神经梅毒:病例报告。
Exp Ther Med. 2023 Mar 21;25(5):201. doi: 10.3892/etm.2023.11900. eCollection 2023 May.
2
Optic neuritis presented as the only manifestation of neurosyphilis.视神经炎作为神经梅毒的唯一表现形式出现。
Oman J Ophthalmol. 2023 Feb 21;16(1):161-164. doi: 10.4103/ojo.ojo_66_22. eCollection 2023 Jan-Apr.
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Imaging features of neurosyphilis.神经梅毒的影像学特征。
J Neuroradiol. 2023 Mar;50(2):241-252. doi: 10.1016/j.neurad.2023.01.003. Epub 2023 Jan 11.
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Magnetic Resonance Imaging in Otosyphilis: A Rare Manifestation of Neurosyphilis.梅毒性耳病的磁共振成像:神经梅毒的一种罕见表现
Indian J Radiol Imaging. 2022 Jun 30;32(2):278-284. doi: 10.1055/s-0042-1744523. eCollection 2022 Jun.
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Case Report: A Case Report of Neurosyphilis Mimicking Limbic Encephalitis.病例报告:一例疑似边缘叶脑炎的神经梅毒病例报告。
Front Neurol. 2022 May 12;13:862175. doi: 10.3389/fneur.2022.862175. eCollection 2022.
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Progressive Stroke Caused by Neurosyphilis With Concentric Enhancement in the Internal Cerebral Artery on High-Resolution Magnetic Resonance Imaging: A Case Report.高分辨率磁共振成像显示脑内动脉呈同心性强化的神经梅毒所致进展性卒中:一例报告
Front Neurol. 2021 Aug 30;12:675083. doi: 10.3389/fneur.2021.675083. eCollection 2021.
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An Unusual Case of Neurosyphilis Manifesting as Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH).神经梅毒表现为抗利尿激素分泌不当综合征(SIADH)的不寻常病例。
Am J Case Rep. 2021 Feb 16;22:e929050. doi: 10.12659/AJCR.929050.
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An Atypical Case of Neurosyphilis.一例非典型神经梅毒病例。
Prim Care Companion CNS Disord. 2020 Dec 3;22(6):20l02593. doi: 10.4088/PCC.20l02593.
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J Eur Acad Dermatol Venereol. 2021 Feb;35(2):e151-e152. doi: 10.1111/jdv.16882. Epub 2020 Sep 10.
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Clin Med (Lond). 2020 Jan;20(1):95-97. doi: 10.7861/clinmed.2019-0368.