Herpetic meningoencephalitis and neurosyphilis – a rare association

Cerebrospinal fluid analysis in infectious diseases of the nervous system: when to ask, what to ask, what to expect.

Cerebrospinal fluid (CSF) analysis very frequently makes the difference to the diagnosis, not only in relation to infections but also in other diseases of the nervous system such as inflammatory, demyelinating, neoplastic and degenerative diseases. The authors review some practical and important features of CSF analysis in infectious diseases of the nervous system, with regard to acute bacteria...

Acute Cranial Neuropathies Heralding Neurosyphilis in a Human Immunodeficiency Virus-Infected Patient

BACKGROUND Symptomatic early neurosyphilis with isolated acute multiple cranial nerves palsy as initial manifestation of HIV infection is very rare. It is caused by direct invasion of the central nervous system by the spirochete Treponema pallidum. CASE REPORT A 31-year-old African-American homosexual man presented with bilateral hearing loss, constant vertigo, intermittent horizontal diplopi...

Clinically mild encephalitis/encephalopathy with a reversible splenial lesion associated with aseptic meningoencephalitis

Miliaire cristalline généralisée

Prickly heat is a benign cutaneous manifestation related to heat retention secondary to sweat ducts obstruction. Depending on the level of obstruction, it is possible to distinguish between miliaria crystalline, miliaria rubra (red type) and miliaria profunda. We report the case of a 59-year old patient with no notable medical history hospitalized in intensive care unit due to febrile confusion...

Chronic or Late Lyme Neuroborreliosis: Analysis of Evidence Compared to Chronic or Late Neurosyphilis

Whether spirochetes persist in affected host tissues and cause the late/chronic manifestations of neurosyphilis was the subject of long-lasting debate. Detection of Treponema pallidum in the brains of patients with general paresis established a direct link between persisting infection and tertiary manifestations of neurosyphilis. Today, the same question is in the center of debate with respect ...