title: Acute syphilitic meningitis in a patient with systemic lupus erythematosus.
abstract: A man with systemic lupus erythematosus receiving chronic steroid therapy presented with headache, fever and panophthalmitis. Cerebrospinal fluid analysis was consistent with syphilitic meningitis. This represents the first reported case of syphilitic meningitis in a lupus patient. Our case report highlights the need to remain alert for unusual manifestations of syphilis in immunosuppressed patients.
authors.affiliation: Department of Medicine, New York University Medical Center, NY.
authors.forename: S
authors.initials: S
authors.lastname: Lewis
authors.forename: R
authors.initials: R
authors.lastname: Goldman
authors.forename: B
authors.initials: B
authors.lastname: Cronstein
mesh_terms: D000208:Acute Disease; D000328:Adult; D004305:Dose-Response Relationship, Drug; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy; D008297:Male; D008581:Meningitis / Q000150:complications* / Q000382:microbiology*; D011241:Prednisone / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D013587:Syphilis
chemical_list: D011241:Prednisone