Meningovascular Syphilis Presenting as a Brain Mass in an Immunocompetent Male

Author:

Pham Khanh1ORCID,Gottesdiener Lee1,Simon Matthew S12,Trzebucki Alex1,Maldarelli Grace A1,Cisse Babacar13,Lieberman Joshua4ORCID,DeHaan Elliot12,Pisapia David15

Affiliation:

1. New York–Presbyterian Hospital, Weill Cornell Medical Center, New York, New York, USA

2. Department of Medicine, Weill Cornell Medicine, New York, New York, USA

3. Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA

4. Department of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA

5. Department of Pathology, Weill Cornell Medicine, New York, New York, USA

Abstract

Abstract We present a case of a human immunodeficiency virus–negative man with syphilitic meningovascular disease with subjacent involvement of brain parenchyma leading to a mass-forming inflammatory lesion that was pathologically distinct from a typical gumma. Syphilis was diagnosed after tissue obtained from a brain biopsy demonstrated spirochetes consistent with Treponema pallidum and confirmed by 16S ribosomal RNA sequencing.

Funder

New York–Presbyterian Hospital and Weill Cornell Medical College

Clinical and Translational Science Center

Joint Clinical Trials Office

Research Training in Infectious Diseases

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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