In the future it seems probable that cases of neurosyphilis will be seen sporadically by physicians and neurologists. As a result of the almost universal ingestion of antibiotics for trivial conditions, many cases of syphilis will be modified or arrested and some patients will be cured of the disease without ever knowing that they have acquired it. In others, developing neurosyphilis may be attenuated by inadequate chance treatment and the clinical and laboratory manifestations may become more subtle and difficult to recognize, leading to errors in diagnosis. Clinical experience of the varied manifestations of neurosyphilis has become less widespread among physicians and consequently greater care should be taken to ensure that the diagnosis is not missed.
未来,内科医生和神经科医生可能会偶尔遇到神经梅毒病例。由于人们几乎普遍因一些小病症而服用抗生素,许多梅毒病例的病情将得到改善或得到控制,一些患者甚至在不知道自己感染梅毒的情况下就被治愈。在其他情况下,由于治疗机会不足,发展中的神经梅毒可能会减轻,其临床和实验室表现可能会变得更加隐匿,难以识别,从而导致诊断错误。神经梅毒各种表现的临床经验在医生中已不那么普遍,因此应更加谨慎,确保不漏诊。