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A Case of Acute Transverse Myelitis Associated with Neurosyphilis / 감염과화학요법
Infection and Chemotherapy ; : 446-449, 2012.
Artículo en Inglés | WPRIM | ID: wpr-218098
ABSTRACT
Syphilitic myelitis is a rare manifestation of neurosyphilis, whose magnetic resonance imaging findings are not well documented. The authors report on a case of a 48-year-old male who presented with acute onset of paraplegia and voiding difficulty and was diagnosed as having syphilitic myelitis. Among tests performed for the diagnosis, serum Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorbed (FTA-ABS) tests showed a positive result. Analysis of cerebrospinal fluid (CSF) showed a normal white blood cell count, increased protein, reactive VDRL, and FTA-ABS tests. Magnetic resonance imaging (MRI) of cervical and thoracic spines showed diffuse intramedullary T2-hyperintense signal intensity without T1-weighted gadolinium enhancement. The syphilitic myelitis was resolved after institution of intravenous high dose penicillin G therapy for two weeks. Additional follow-up CSF analysis performed three months after treatment showed decreased protein and negative VDRL. MRI taken nine months later appeared normal and VDRL in CSF was still negative. This case study reports on the first Korean case of acute transverse myelitis caused by syphilis.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Paraplejía / Penicilina G / Columna Vertebral / Imagen por Resonancia Magnética / Sífilis / Enfermedades de Transmisión Sexual / Estudios de Seguimiento / Prueba de Absorción de Anticuerpos Fluorescentes de Treponema / Gadolinio / Recuento de Leucocitos Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos / Masculino Idioma: Inglés Revista: Infection and Chemotherapy Año: 2012 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Paraplejía / Penicilina G / Columna Vertebral / Imagen por Resonancia Magnética / Sífilis / Enfermedades de Transmisión Sexual / Estudios de Seguimiento / Prueba de Absorción de Anticuerpos Fluorescentes de Treponema / Gadolinio / Recuento de Leucocitos Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos / Masculino Idioma: Inglés Revista: Infection and Chemotherapy Año: 2012 Tipo del documento: Artículo