[1]肖焱炜,朱慧琴,于潮,等.树胶肿性神经梅毒1例[J].中国皮肤性病学杂志,2019,(10):1161-1163.[doi:10.13735/j.cjdv.1001-7089.201902028]
 XIAO Yanwei,ZHU Huiqin,YU Chao,et al.A Case of Cerebral Syphilitic Gummata[J].The Chinese Journal of Dermatovenereology,2019,(10):1161-1163.[doi:10.13735/j.cjdv.1001-7089.201902028]
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树胶肿性神经梅毒1例
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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2019年10期
页码:
1161-1163
栏目:
性传播疾病
出版日期:
2019-09-13

文章信息/Info

Title:
A Case of Cerebral Syphilitic Gummata
文章编号:
1001-7089(2019)10-1161-03
作者:
肖焱炜朱慧琴于潮王傲雪孙令张蕴颖
大连医科大学附属第二医院,辽宁 大连 116027
Author(s):
XIAO YanweiZHU HuiqinYU ChaoWANG AoxueSUN LingZHANG Yunying
(Department of Dermatology,the Second Hospital of Dalian Medical University,Dalian 116027,China)
关键词:
神经梅毒 树胶肿
Keywords:
Neurosyphilis Gumma
分类号:
R 759.1+3
DOI:
10.13735/j.cjdv.1001-7089.201902028
文献标志码:
B
摘要:
患者女,29岁,阵发性头痛伴恶心、呕吐15 d。血清梅毒螺旋体特异性抗体试验(TPHA)呈阳性,快速血浆反应素试验(RPR)呈阳性; 颅脑磁共振成像(MRI)考虑颅内梅毒树胶肿。行手术治疗,术后组织病理提示梅毒树胶肿。本例患者病变早期即出现颅内高压症状,故先行手术治疗解除占位,而后予正规驱梅治疗。
Abstract:
A 29-year-old female complained of paroxysmal headache,nausea and vomiting for 15 days. TPHA and RPR in blood were positive.Brain MRI showed intracranial syphilitic gummata. After operative treatment,the diagnosis of cerebral syphilitic gummata was made with histopathology.This patient developed intracranial hypertension in the early stage of neurosyphilis,therefore,the surgery was performed to remove the occupation firstly,and then standard anti-syphilis treatment was given.

参考文献/References:

[1] Shi F,Jiang H,Shi Z,et al.Cerebral syphilitic gumma case report of a brainstem mass lesion and brief review of the literature[J].Jpn J Infect Dis,2017,70(5):595-596.
[2] Shao X,Qiang D,Liu Y,et al.Diagnosis and treatment of cerebral syphilitic gumma: a report of three cases[J].Front Neurosci,2018,12:100.
[3] Kikuchi Y,Hiwatashi A,Togao O,et al.Cerebral syphilitic gumma mimicking glioma: Utility of CT perfusion[J].Diagn Interv Imaging,2018,99(11):755-757.
[4] Workowski KA,Bolan GA.Sexually transmitted diseases treatment guidelines,2015[J].MMWR Recomm Rep,2015,64(RR-03):1-137.
[5] Huo KL,Liu LT,Ming Y,et al.Cerebral syphilitic gumma misdiagnosed as glioma: A case report and literature review[J].Neurol India,2013,61(2):178-179.
[6] Zhang L,Zhou Y,Chen J,et al.A case of a cerebral syphilitic gumma developed in a few months mimicking a brain tumor in a human immunodeficiency virus-negative patient[J].Br J Neurosurg,2017,31(4):481-483.
[7] Sasaki R,Tanaka N,Okazaki T,et al.Multiple cerebral syphilitic gummas mimicking brain tumor in a non-HIV-infected patient: A case report[J].J Infect Chemother,2019,25(3):208-211.

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备注/Memo

备注/Memo:
[作者单位] 大连医科大学附属第二医院,辽宁 大连 116027
[通讯作者] 张蕴颖,E-mail:dl_zhangyunying@aliyun.com
更新日期/Last Update: 2019-09-12