Abstract | RATIONALE: We report a rare case of syphilitic meningomyelitis presenting with visceral crisis and possessing characteristic imaging findings. PATIENT CONCERNS: The patient, a 50-year-old woman, complained of pain in the upper abdomen and back. She then developed numbness in both lower extremities and weakness in the left lower limb. DIAGNOSIS: Magnetic resonance imaging (MRI) of the spinal cord revealed the candle guttering sign and irregular enhancement at the T6 level. Rapid plasma reagin test of the cerebrospinal fluid yielded a titer of 1:8. Thus, the patient was diagnosed with syphilitic meningomyelitis. INTERVENTIONS: OUTCOMES: LESSONS:
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Authors | Li Sun, Nannan Zheng, Yu Yang, Hai-Ning Zhang |
Journal | Medicine
(Medicine (Baltimore))
Vol. 97
Issue 30
Pg. e11661
(Jul 2018)
ISSN: 1536-5964 [Electronic] United States |
PMID | 30045319
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Anti-Bacterial Agents
- Anti-Inflammatory Agents
- Ceftriaxone
- Dexamethasone
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Topics |
- Abdominal Pain
(etiology)
- Anti-Bacterial Agents
(therapeutic use)
- Anti-Inflammatory Agents
(therapeutic use)
- Back Pain
(etiology)
- Ceftriaxone
(therapeutic use)
- Dexamethasone
(therapeutic use)
- Female
- Humans
- Hypesthesia
(etiology)
- Lower Extremity
- Middle Aged
- Pain
(etiology)
- Stomach
- Tabes Dorsalis
(complications, diagnosis, drug therapy)
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