An atypical presentation of a re-emerging disease

Often referred to as ‘The Great Mimicker’, syphilis infections have been on the rise since 2000 including cases of primary and secondary syphilis where 19,999 were reported in the USA in 2014. ​​The increase in cases has led the USPSTF to recommend screening for syphilis infection in persons who are...

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Main Authors: Michael Hunter, Patrick Brine
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2017-01-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2017.1302693
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author Michael Hunter
Patrick Brine
author_facet Michael Hunter
Patrick Brine
author_sort Michael Hunter
collection DOAJ
description Often referred to as ‘The Great Mimicker’, syphilis infections have been on the rise since 2000 including cases of primary and secondary syphilis where 19,999 were reported in the USA in 2014. ​​The increase in cases has led the USPSTF to recommend screening for syphilis infection in persons who are at increased risk of infection. ​​Changes in screening and re-emergence of the disease necessitates review of the multitude of circumstances a patient can present for care. Immunocompetent patients begin to show classic symptoms within 10–90 days following infection with the spirochete. In the immunocompromised patient, the presenting symptoms are often atypical and more complex. With the rise in HIV infections, syphilitic infections have become increasingly common worldwide and several atypical presentations have been observed. ​​The following case is an atypical presentation of syphilis involving both central and peripheral nervous system findings in a patient without significant medical history.
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spelling doaj.art-d5c406cc11d544c096d168c2005910822023-01-02T15:11:12ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662017-01-0171495210.1080/20009666.2017.13026931302693An atypical presentation of a re-emerging diseaseMichael Hunter0Patrick Brine1Mercy Health YoungstownMercy Health YoungstownOften referred to as ‘The Great Mimicker’, syphilis infections have been on the rise since 2000 including cases of primary and secondary syphilis where 19,999 were reported in the USA in 2014. ​​The increase in cases has led the USPSTF to recommend screening for syphilis infection in persons who are at increased risk of infection. ​​Changes in screening and re-emergence of the disease necessitates review of the multitude of circumstances a patient can present for care. Immunocompetent patients begin to show classic symptoms within 10–90 days following infection with the spirochete. In the immunocompromised patient, the presenting symptoms are often atypical and more complex. With the rise in HIV infections, syphilitic infections have become increasingly common worldwide and several atypical presentations have been observed. ​​The following case is an atypical presentation of syphilis involving both central and peripheral nervous system findings in a patient without significant medical history.http://dx.doi.org/10.1080/20009666.2017.1302693Syphilisneurosyphilisinfectious diseasefacial paralysismeningitis
spellingShingle Michael Hunter
Patrick Brine
An atypical presentation of a re-emerging disease
Journal of Community Hospital Internal Medicine Perspectives
Syphilis
neurosyphilis
infectious disease
facial paralysis
meningitis
title An atypical presentation of a re-emerging disease
title_full An atypical presentation of a re-emerging disease
title_fullStr An atypical presentation of a re-emerging disease
title_full_unstemmed An atypical presentation of a re-emerging disease
title_short An atypical presentation of a re-emerging disease
title_sort atypical presentation of a re emerging disease
topic Syphilis
neurosyphilis
infectious disease
facial paralysis
meningitis
url http://dx.doi.org/10.1080/20009666.2017.1302693
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