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Article
April 18, 1925

ACUTE SYPHILITIC MYELITIS WITH FATAL ASCENDING PARALYSIS: REPORT OF CASE

JAMA. 1925;84(16):1178-1179. doi:10.1001/jama.1925.02660420016006
Abstract

There are numerous articles on chronic syphilitic cord lesions, but comparatively little mention has been made of acute syphilitic myelitis, which so frequently terminates in disaster. Since 1874, when Leyden1 reported cases of this nature, about 200 cases have been found in the literature. This has been recently reviewed by Cole,2 who added two cases of his own. Until his report it has been rarely mentioned in this country; but, from the number of cases reported in the foreign countries, one would judge that it is fairly frequent in our country, but not presented to the medical profession. In contrast to the number of acute syphilitic myelitic cases, there is a much smaller number reported from other causes. The largest group encountered is that reported by Phifer and Forster,3 due to gonorrheal infection, which certainly does not rank next in frequency in producing acute myelitis. Only isolated

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