Chameleons everywhere.
BMJ Case Rep. 2014 Nov 24; 2014BC

Abstract

We report the case of an HIV-infected man returning from Thailand with secondary syphilis with general symptoms, hepatitis and a pulmonary mass lesion. A cerebrospinal fluid examination showed no signs of neurosyphilis. Two months after successful treatment with benzathine penicillin he presented with a mass lesion in the brain suspected to be a glioma or glioblastoma, which turned out to be a syphilitic gumma. Syphilis remains a great imitator in clinical medicine. Syphilitic brain gummata can develop within a few months.

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ncbi.nlm.nih.gov
casereports.bmj.com
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Authors+Show Affiliations

Sprenger K
Department of Emergency, Hirslandenklinik Bern, Bern, Switzerland.
Furrer H
Institut für Infektionskrankheiten, Universitätsspital Bern, Bern, Switzerland.

MeSH

AdultAnti-Bacterial AgentsBrain NeoplasmsDiagnosis, DifferentialGlioblastomaGliomaHIV InfectionsHepatitisHumansLung NeoplasmsMalePenicillin G BenzathineSyphilis

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25422329