A middle aged gentleman presenting with subacute Neurosyphilis: Report and Literature Review

Authors

Sherif Elkattawy, Rutgers New Jersey Medical School Department of Internal Medicine
Hardik Fichadiya, Rutgers New Jersey Medical School Department of Internal MedicineFollow
Tanya Shankar, Rutgers New Jersey Medical School Department of Internal Medicine
Xutong Guo, St. George's University Department of Internal Medicine
Omar Elkattawy, Rutgers New Jersey Medical School Department of Internal Medicine
Harshil Fichadiya, Monmoth Medical Center Department of Internal Medicine
Aditya Patel, Saint Michael’s Medical Center Department of Internal Medicine
Clark Sherer, Trinitas Regional Medical Center Department of Internal Medicine

Abstract

Syphilis is a sexually transmitted disease spread by spirochete Treponema Pallidum, it has a varied range of symptoms and is divided into stages primary, secondary and tertiary. Central nervous system (CNS) invasion occurs early in the disease in almost all the patients, and does not follow any particular stage. However, clinical manifestation depends on whether inflammatory response occurs. (1)(2) Early neurosyphilis typically affects cerebrospinal fluid (CSF) and meninges presenting like meningitis, while late affects the brain and spinal cord parenchyma, presenting as tabes dorsalis and paresis. Here we present a case of a patient with symptomatic neurosyphilis presenting with CSF findings of bacterial meningitis.

Recommended Citation

Elkattawy, Sherif; Fichadiya, Hardik; Shankar, Tanya; Guo, Xutong; Elkattawy, Omar; Fichadiya, Harshil; Patel, Aditya; and Sherer, Clark (2022) "A middle aged gentleman presenting with subacute Neurosyphilis: Report and Literature Review," Journal of Community Hospital Internal Medicine Perspectives: Vol. 12: Iss. 2, Article 3.
DOI: 10.55729/2000-9666.1040
Available at: https://scholarlycommons.gbmc.org/jchimp/vol12/iss2/3