SYPHILITIC CEREBRAL GUMMA WITH HIV-INFECTION

被引:50
作者
BERGER, JR
WASKIN, H
PALL, L
HENSLEY, G
IHMEDIAN, I
POST, MJD
机构
[1] DUKE UNIV, MED CTR, DEPT MED, DIV INFECT DIS & INT HLTH, DURHAM, NC 27710 USA
[2] UNIV MIAMI, SCH MED, DEPT INTERNAL MED, MIAMI, FL 33136 USA
[3] UNIV MIAMI, SCH MED, DEPT PATHOL, MIAMI, FL 33136 USA
[4] UNIV MIAMI, SCH MED, DEPT RADIOL, MIAMI, FL 33136 USA
关键词
D O I
10.1212/WNL.42.7.1282
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We describe two human immunodeficiency virus (HIV)-infected patients with syphilitic cerebral gummas. Both patients presented with a seizure disorder associated with an isolated, peripherally located, contrast-enhancing lesion of the brain on CT. Cranial MRI performed on one patient revealed dural thickening in the region of the lesion. A brain biopsy in that patient revealed a lymphoplasmacytic infiltrate with extensive perivascular inflammation. Clinical manifestations, radiographic resolution of the lesions, and a decline in nontreponemal serologic tests for syphilis followed high-dose aqueous penicillin therapy in both patients. These patients illustrate that (1) cerebral mass lesions occurring with HIV infection may result from syphilis; (2) seizures may be the presenting manifestation of this form of neurosyphilis; and (3) high-dose, intravenous, aqueous penicillin is effective in treating these lesions.
引用
收藏
页码:1282 / 1287
页数:6
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