Early neurosyphilis with serofast state

Emerg Microbes Infect. 2024 Dec;13(1):2373305. doi: 10.1080/22221751.2024.2373305. Epub 2024 Jul 16.

Abstract

We report a rare case of confirmed early neurosyphilis with serofast state in HIV-negative patient, with uncontrolled type 2 diabetes mellitus. Syphilitic meningitis was diagnosed initially on serology and cerebrospinal fluid (CSF) analysis. The patient had persistently raised non-treponemal titres on serum with negative CSF venereal disease research laboratory result, following treatment during 3 years of follow-up.

Keywords: Neurosyphilis; cerebrospinal fluid; meningitis; nontreponemal antibodies; serofast.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Antibodies, Bacterial / blood
  • Antibodies, Bacterial / cerebrospinal fluid
  • Diabetes Mellitus, Type 2 / complications
  • Humans
  • Male
  • Middle Aged
  • Neurosyphilis* / complications
  • Neurosyphilis* / diagnosis
  • Neurosyphilis* / drug therapy
  • Treponema pallidum / immunology
  • Treponema pallidum / isolation & purification

Substances

  • Anti-Bacterial Agents
  • Antibodies, Bacterial

Grants and funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.