title: Cerebral syphilitic gumma in HIV-infected patients: case report and review.
abstract: Neurosyphilis presenting as a cerebral gumma is an uncommon event. To date there are seven cases of cerebral gumma reported in human immunodeficiency virus (HIV)-infected patients. We describe a HIV-infected patient with neurosyphilis presenting as an expanding central nervous system lesion and unremarkable cerebrospinal fluid analysis. This case report illustrates the clinical and therapeutic aspects of syphilitic gumma in HIV-infected patients.
authors.affiliation: Infectious Diseases Unit, Department of Internal Medicine, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Letícia S
authors.initials: LS
authors.lastname: Weinert
authors.forename: Rafael S
authors.initials: RS
authors.lastname: Scheffel
authors.forename: Gabriela
authors.initials: G
authors.lastname: Zoratto
authors.forename: Vinícius
authors.initials: V
authors.lastname: Samios
authors.forename: Marcelo W
authors.initials: MW
authors.lastname: Jeffmann
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Dora
authors.forename: Luciano Z
authors.initials: LZ
authors.lastname: Goldani
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D001921:Brain / Q000000981:diagnostic imaging; D002555:Cerebrospinal Fluid / Q000737:chemistry / Q000166:cytology / Q000382:microbiology; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009494:Neurosyphilis; D010400:Penicillin G / Q000627:therapeutic use; D011859:Radiography
chemical_list: D000900:Anti-Bacterial Agents; D010400:Penicillin G