Cerebral syphilitic gumma in HIV-infected patients: case report and review.
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.
Weinert
Letícia S
LS
Infectious Diseases Unit, Department of Internal Medicine, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Scheffel
Rafael S
RS
Zoratto
Gabriela
G
Samios
Vinícius
V
Jeffmann
Marcelo W
MW
Dora
José Miguel
JM
Goldani
Luciano Z
LZ
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
D000900:Anti-Bacterial Agents; D010400:Penicillin G