title: Cerebral syphilitic gumma: a case report and review of the literature.
abstract: A 45-year-old male presented with subacute onset of a right-sided hemiparesis, right homonymous hemianopsia, and slurred speech. The brain imaging revealed two separate intraparenchymal enhancing lesions. The cerebrospinal fluid rapid plasma reagin and venereal disease research laboratory test were positive and consistent with syphilitic gumma, and the patient responded dramatically to penicillin G. Despite, currently low incidence of syphilis; CNS gummas should be in the differential of mass lesions as they are eminently treatable.
authors.affiliation: Department of Neurology, Daping Hospital, Third Military Medical University, Chongqing 400042, China.
authors.forename: Jing-Cheng
authors.initials: JC
authors.lastname: Li
authors.forename: Ali
authors.initials: A
authors.lastname: Mahta
authors.forename: Ryan Y
authors.initials: RY
authors.lastname: Kim
authors.forename: Marlon
authors.initials: M
authors.lastname: Saria
authors.forename: Santosh
authors.initials: S
authors.lastname: Kesari
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006423:Hemianopsia / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009494:Neurosyphilis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D010291:Paresis / Q000209:etiology; D010400:Penicillin G / Q000627:therapeutic use; D013064:Speech Disorders / Q000209:etiology
chemical_list: D000900:Anti-Bacterial Agents; D010400:Penicillin G