Abstract

RIVEROS, Efraín; MANRIQUE-ABRIL, Fred  and  BUSTAMANTE, Manuel. Acute syphilitic meningitis. Infect. [online]. 2011, vol.15, n.3, pp. 198-201. ISSN 0123-9392.

A 28 year-old woman presented with a rapidly progressive clinical picture of behavioral changes and altered level of consciousness. She was admitted with Glasgow Coma Score 8/15, 5 mm dilated non-reactive left pupil, right ptosis and nystagmus with left lateral gaze. Protein content at cerebrospinal fluid was 0,86 g/L with pleocytosis. Three weeks earlier, the patient underwent vaginal delivery of a pregnancy without prenatal care, and the newborn was found to be reactive to syphilis serology and positive on FTA-ABS test. The patient was found positive as well for syphilis on serologic tests for syphilis, corresponding yhe picture to neurosyphilis.HIV testing was negative in the patient.

Keywords : acute syphilitic meningitis; pospartum period.