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Society Transactions
February 1921


Arch Derm Syphilol. 1921;3(2):192-194. doi:10.1001/archderm.1921.02350140084013

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SYPHILITIC MENINGITIS D'EMBLEE. Dr. Portilla.  I wish to report the case of a young man, aged 25, who had occult syphilis, without ever having had chancre or any other manifestations. The parents were apparently healthy; the mother had been pregnant ten times, labor always being normal. All the children were healthy and the father had a negative history. Last March the patient began to suffer with meningitis, accompanied by symptoms of insanity, hemiparesis and aphasia due to involvement of the motor zone. Syphilis was diagnosed by exclusion, in spite of the negative blood Wassermann reaction, and the diagnosis was confirmed by the examination of the cerebrospinal fluid and the success obtained with the specific treatment. My conclusions from this case are" 1. We must keep syphilis in mind when no other disease is apparent, in spite of a negative history. 2. The Wassermann test must be appreciated at its true

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