Pachymeningitis luetica: a case report.
Pachymeningitis luetica is extremely rare in developed countries. We describe a 41-year-old male patient with pachymeningitis luetica, multiple ischaemic infarctions, and severe hydrocephalus. The delay in making the diagnosis contributed to patient's death. Rapid diagnosis is essential on the slightest suspicion of an infection by Treponema pallidum, because timely treatment with antibiotics is effective.
Joosten
A A
AA
Department of Neurology, Medisch Spectrum Twente, PO Box 50.000, 7500 KA Enschede, The Netherlands.
Prevo
R L
RL
de Vos
R A
RA
Hendrix
M G
MG
Boomstra
S
S
Jansen Steur
E N
EN
D000328:Adult; D001921:Brain / Q000382:microbiology* / Q000473:pathology; D001927:Brain Diseases / Q000175:diagnosis; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D017809:Fatal Outcome; D006801:Humans; D006849:Hydrocephalus / Q000382:microbiology* / Q000601:surgery; D008297:Male; D009494:Neurosyphilis / Q000175:diagnosis* / Q000382:microbiology; D013606:Tabes Dorsalis / Q000150:complications / Q000175:diagnosis; D014210:Treponema pallidum / Q000302:isolation & purification*; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects