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Images in Clinical Medicine
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Volume 335:1123 October 10, 1996 Number 15
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Syphilitic Gummas in a Patient with Human Immunodeficiency Virus Infection

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A 26-year-old woman who was positive for the human immunodeficiency virus presented with focal motor seizures, a CD4 cell count of 238 per cubic millimeter, a rapid plasma reagin titer of 1:32, and a positive test for serum treponemal IgG antibody. One year earlier, she had received a single dose of intramuscular penicillin (dose and rapid plasma reagin titer not known). On admission, gadolinium-enhanced T1-weighted magnetic resonance imaging showed multiple syphilitic cerebral gummas (Panels A and B). Studies of cerebrospinal fluid revealed a white-cell count of 20 per cubic millimeter (92 percent lymphocytes and 8 percent monocytes), protein concentration . . . [Full Text of this Article]

 

Related Letters:

Cerebral Syphilitic Gumma
Quinn P., Weisberg L., Roeske L. C., Kennedy P. R., Suarez J. I., Mlakar D., Snodgrass S. M.
Extract | Full Text  
N Engl J Med 1997; 336:1027-1028, Apr 3, 1997. Correspondence

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