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Case Reports
. 2024 Dec;13(1):2373305.
doi: 10.1080/22221751.2024.2373305. Epub 2024 Jul 16.

Early neurosyphilis with serofast state

Affiliations
Case Reports

Early neurosyphilis with serofast state

Souheil Zayet et al. Emerg Microbes Infect. 2024 Dec.

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.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

References

    1. Ropper AH. Neurosyphilis. N Engl J Med. 3 oct 2019;381(14):1358–1363. doi:10.1056/NEJMra1906228 - DOI - PubMed
    1. Tuddenham S, Ghanem KG.. Management of adult syphilis: key questions to inform the 2021 centers for disease control and prevention sexually transmitted infections treatment guidelines. Clin Infect Dis Off Publ Infect Dis Soc Am. 13 apr 2022;74(Suppl_2):S127–S133. - PMC - PubMed
    1. Seña AC, Zhang XH, Li T, et al. . A systematic review of syphilis serological treatment outcomes in HIV-infected and HIV-uninfected persons: rethinking the significance of serological non-responsiveness and the serofast state after therapy. BMC Infect Dis. 28 oct 2015;15:479. doi:10.1186/s12879-015-1209-0 - DOI - PMC - PubMed
    1. Seña AC, Wolff M, Martin DH, et al. . Predictors of serological cure and Serofast State after treatment in HIV-negative persons with early syphilis. Clin Infect Dis Off Publ Infect Dis Soc Am. déc 2011;53(11):1092–1099. doi:10.1093/cid/cir671 - DOI - PMC - PubMed
    1. Papp JR, Park IU, Fakile Y, et al. . CDC laboratory recommendations for syphilis testing, United States, 2024. MMWR Recomm Rep. 8 févr 2024;73(1):1–32. doi:10.15585/mmwr.rr7301a1 - DOI - PMC - PubMed

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