Syphilitic Gummata in the Central Nervous System: A Narrative Review and Case Report about a Noteworthy Clinical Manifestation

Infection with <i>Treponema pallidum</i> is on the rise. In this narrative literature review, we show that the incidence of rare manifestations of syphilis, such as intracerebral gummata, is increasing and should be considered in the differential diagnosis of intracerebral lesions. With...

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Main Authors: Lennart Barthel, Susann Hetze, Sarah Teuber-Hanselmann, Valérie Chapot, Ulrich Sure
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/9/5/906
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author Lennart Barthel
Susann Hetze
Sarah Teuber-Hanselmann
Valérie Chapot
Ulrich Sure
author_facet Lennart Barthel
Susann Hetze
Sarah Teuber-Hanselmann
Valérie Chapot
Ulrich Sure
author_sort Lennart Barthel
collection DOAJ
description Infection with <i>Treponema pallidum</i> is on the rise. In this narrative literature review, we show that the incidence of rare manifestations of syphilis, such as intracerebral gummata, is increasing and should be considered in the differential diagnosis of intracerebral lesions. With the exemplary case that we present here, we aim to raise awareness of the resurgence of this disease, which should be considered in the differential diagnosis of intracerebral lesions, especially for patients who have a risk profile for syphilis, and serological testing for <i>T. pallidum</i> prior to surgery should be discussed in order to avoid an unnecessary operation.
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spelling doaj.art-fc192aee24b44619a50a18a04c6279d22023-11-21T16:54:56ZengMDPI AGMicroorganisms2076-26072021-04-019590610.3390/microorganisms9050906Syphilitic Gummata in the Central Nervous System: A Narrative Review and Case Report about a Noteworthy Clinical ManifestationLennart Barthel0Susann Hetze1Sarah Teuber-Hanselmann2Valérie Chapot3Ulrich Sure4Department of Neurosurgery, University Hospital of Essen, Hufelandstraße 55, 45147 Essen, GermanyDepartment of Neurosurgery, University Hospital of Essen, Hufelandstraße 55, 45147 Essen, GermanyInstitute of Neuropathology, University Hospital of Essen, Hufelandstraße 55, 45147 Essen, GermanyInstitute of Medical Microbiology, University Hospital of Essen, Hufelandstraße 55, 45147 Essen, GermanyDepartment of Neurosurgery, University Hospital of Essen, Hufelandstraße 55, 45147 Essen, GermanyInfection with <i>Treponema pallidum</i> is on the rise. In this narrative literature review, we show that the incidence of rare manifestations of syphilis, such as intracerebral gummata, is increasing and should be considered in the differential diagnosis of intracerebral lesions. With the exemplary case that we present here, we aim to raise awareness of the resurgence of this disease, which should be considered in the differential diagnosis of intracerebral lesions, especially for patients who have a risk profile for syphilis, and serological testing for <i>T. pallidum</i> prior to surgery should be discussed in order to avoid an unnecessary operation.https://www.mdpi.com/2076-2607/9/5/906neurosyphilissyphilistreponema pallidumsyphilitic gummacentral nervous system gummacerebral syphilitic gumma
spellingShingle Lennart Barthel
Susann Hetze
Sarah Teuber-Hanselmann
Valérie Chapot
Ulrich Sure
Syphilitic Gummata in the Central Nervous System: A Narrative Review and Case Report about a Noteworthy Clinical Manifestation
Microorganisms
neurosyphilis
syphilis
treponema pallidum
syphilitic gumma
central nervous system gumma
cerebral syphilitic gumma
title Syphilitic Gummata in the Central Nervous System: A Narrative Review and Case Report about a Noteworthy Clinical Manifestation
title_full Syphilitic Gummata in the Central Nervous System: A Narrative Review and Case Report about a Noteworthy Clinical Manifestation
title_fullStr Syphilitic Gummata in the Central Nervous System: A Narrative Review and Case Report about a Noteworthy Clinical Manifestation
title_full_unstemmed Syphilitic Gummata in the Central Nervous System: A Narrative Review and Case Report about a Noteworthy Clinical Manifestation
title_short Syphilitic Gummata in the Central Nervous System: A Narrative Review and Case Report about a Noteworthy Clinical Manifestation
title_sort syphilitic gummata in the central nervous system a narrative review and case report about a noteworthy clinical manifestation
topic neurosyphilis
syphilis
treponema pallidum
syphilitic gumma
central nervous system gumma
cerebral syphilitic gumma
url https://www.mdpi.com/2076-2607/9/5/906
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