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Pontine Syphilitic Gumma in an HIV-negative Patient

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The patient was a 24-year-old man who presented with a 2-month history of headache, gait disturbance and hearing loss. He had no skin or genital manifestations before these symptoms. T2-weighted… Click to show full abstract

The patient was a 24-year-old man who presented with a 2-month history of headache, gait disturbance and hearing loss. He had no skin or genital manifestations before these symptoms. T2-weighted magnetic resonance imaging (MRI), fluid-attenuated inversion recovery MRI, contrast-enhanced T1-weighted MRI, and diffusion-weighted MRI revealed a mass with extensive edema and dural enhancement in the pons (Picture, respectively). No abnormalities were observed in other regions. Examinations of the patient’s serum and cerebrospinal fluid revealed pleocytosis (1,437/mm), and a

Keywords: gumma hiv; syphilitic gumma; negative patient; mri; hiv negative; pontine syphilitic

Journal Title: Internal Medicine
Year Published: 2017

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