CNS感染医师协会.pptVIP

临床表现 可无症状或表现为 脑膜性神经梅毒：头痛、发热、畏光、脑膜刺激症，CSF异常 脑膜血管性神经梅毒：脑膜血管中风、偏瘫、轻偏瘫、失语、抽搐 脑实质性神经梅毒： 脊髓痨：通常发生在梅毒感染后20-25年后， 剧痛、感觉异常、瞳孔反应消失，深腱反射减低，晚期共济失调、膀胱和直肠功能紊乱、夏科氏关节 麻痹性痴呆：失忆、痴呆、人格改变、瞳孔反应消失、言语不清、面具脸、震颤 脊髓炎 眼梅毒：虹膜炎，葡萄膜炎，视神经炎 Diagnostic Tests for Syphilis NOTE: Treponemal antigen tests indicate experience with a treponemal infection, but cross-react with antigens other than T. pallidum ssp. pallidum. Since pinta and yaws are rare in USA, positive treponemal antigen tests are usually indicative of syphilitic infection. (Original Wasserman Test) Conditions Associated with False Positive Serological Tests for S