NEUROSYPHILIS IN 21ST CENTURY: A FLORID MANIFESTATION

Dr Naim Kadri, Dr Darshana Makwana, Dr Ruksharbanu Sama, Dr Rachit Agrawal, Dr Akshay Tajpara

Abstract


A 23-year-old male patient presented with history of weakness of both lower limbs along with sense of imbalance and
difficulty in walking. He had a past history of primary syphilis 3 months before. Patient was investigated for paraparesis
and possibility of neurosyphilis was considered and diagnosis was confirmed by positive serology for syphilis in cerebrospinal fluid and diagnosed
as Tabes dorsalis. In current era of antibiotics, a case of neurosyphilis as early manifestation is very rare but if it occurs it has very florid
manifestations such as tabes dorsalis, general paresis of insane, meningeal syphilis and meningovascular syphilis.


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