Assuntos
Discite , Lúpus Eritematoso Sistêmico , Paracoccidioidomicose , Humanos , Paracoccidioidomicose/complicações , Paracoccidioidomicose/diagnóstico , Lúpus Eritematoso Sistêmico/complicações , Discite/microbiologia , Discite/etiologia , Discite/diagnóstico por imagem , Feminino , Imageamento por Ressonância Magnética , Adulto , MasculinoRESUMO
Syphilis is a reemergent infection worldwide. There has been a steady increase in incidence across many population groups in the last decades, requiring public health authorities' attention. We report a case of a 67-year-old man with neurosyphilis who presented with abrupt clinical ophthalmic changes and sensorineural hearing loss. The neuroradiological investigation demonstrated cranial nerves and vascular involvement, detected on high-resolution vessel wall imaging in brain magnetic resonance imaging. CSF and blood VDRL test were positive, as well as blood serum fluorescent treponemal antibody absorption test (FTA-ABS) and chemiluminescent magnetic microparticle immunoassay (CMIA). A test for the human immunodeficiency virus was negative. The patient was administered intravenous penicillin G for 21 days and was discharged well, with no neurologic signs.