The silent killer: The embarrassment of neurosyphilis

The silent killer: The embarrassment of neurosyphilis

Ms. Li, an office worker in her 50s, was recently sent to the hospital by her family for treatment due to an epileptic seizure. While hospitalized, blood tests suggested she might have syphilis. Looking at her elegant temperament, it is difficult for me to connect her with syphilis. As a precaution, we performed a lumbar puncture on her. Cerebrospinal fluid examination results showed strong positive syphilis antibodies. The diagnosis was established.

Ms. Li’s husband is a tall, mighty and handsome man. Although the years have carved lines on his forehead There are wrinkles, but from the back, he still looks like a tall man. I carefully told the man in front of me, but he told me calmly and calmly: What is supposed to come will always come. I did some ridiculous things when I was young, and I didn\’t expect to hurt my wife.

It turns out that Ms. Li’s husband discovered the problem very early, but because of face, he never arrived. After going to a regular hospital for treatment, I was extorted several hundred yuan by an \”old military doctor\” on a telephone pole for the first time. Later, I bought medicines by myself at a drug store. The one I took the most was doxycycline. Every time after eating for 2-3 days, I feel better and stop eating. eat. If you feel uncomfortable, go buy some medicine. Unexpectedly, now that I am close to retirement, my wife will be affected.

I learned from Mrs. Li that she had an elegant job, was a virtuous housewife, and had a son. It\’s really hard to explain that I have just graduated from college and am suffering from such a disease. While in the hospital, Mrs. Li seemed to pretend not to know anything. On the day I was discharged from the hospital, when I was coming out of the stairs, I found Mrs. Li staring angrily and yelling at her husband: It’s all your fault!

Mrs. Li was indeed very wronged. I have been innocent all my life, but I didn\’t expect to get such a disease, and I didn\’t know how to tell my relatives and friends. Syphilis is one of the four classic sexually transmitted diseases. In my country,Originally close to elimination, but in recent30over the years, sexually transmitted diseases have increased more than GDPQuite quickly, after his husband was infected with syphilis, he never received formal treatment, and He didn\’t tell his wife to get treatment. As a result, the Treponema pallidum slowly invaded the nervous system in Mrs. Li\’s body and became silent in the nervous system, forming neurosyphilis. He suffers from epilepsy as soon as he has an attack and is in excruciating pain.

Compared to Mrs. Li, ZLady is even more unfortunate. Her husband is only45 this year. He was sent to the hospital because of headaches and forgetfulness. Soon he was diagnosed with neurosyphilis and dementia, and his intelligence deteriorated to that of a 3 child. . Looking at this husband who betrayed her and even brought her down, he lost the ability to take care of himself at a young age, ZThe lady is really crying.

Neurosyphilis is syphilis Stage III is also a late manifestation of syphilis, and the incubation period can be as long as 20-30 For many years, it is more common in those who do not havePeople who have received formal treatment or incomplete treatment. Since the resurgence of syphilis occurred in the past 30 years, neurosyphilis is now also More and more, a few every year.

In fact, syphilis is a disease that is relatively easy to treat. When you first contract syphilis, there will be a small induration at the site of the first invasion. It is not painful or itchy, and only a little secretion flows out. This is medically called chancre, and it is stage I syphilis. Because the clinical manifestations of this stage of syphilis are not typical, most of them will be ignored. However, stage I syphilis is very contagious and can be transmitted to your spouse or sexual partner through sexual means. If stage I syphilis is not treated, the Treponema pallidum in the body will invade other organs and form stage II syphilis. II syphilis is also highly contagious, but most people seek medical attention at this time. If correctly diagnosed, treatment with penicillin can be very effective. Since Treponema pallidum is very sensitive to penicillin, the pathogen will be completely eliminated as long as it is treated regularly. However, because syphilis involves a high degree of privacy, and our country implements a mandatory STD reporting system, some people are afraid that their privacy will be leaked, so they secretly go to the \”old military doctor\” on the telephone pole. Those old military doctors at that time are now Putian farmers. The so-called one-time intramuscular injection of ceftriaxone used at that time was known as \”one shot to eliminate sexually transmitted diseases\”. It only inhibited but had no killing effect on Treponema pallidum. These old military doctors used it For people taking the drug, syphilis is only temporarily suppressed but not eliminated. These suppressed pathogens will continue to enter various organs of the body through blood circulation and invade the skin, blood vessels, nerves, etc. Due to the widespread use of antibiotics, stage III syphilis with systemic roseola is so rare that many doctors fail to recognize it when they see it. If Treponema pallidum continues to invade the internal organs of the human body, it will form cardiovascular syphilis and neurosyphilis, leading to a series of neurological symptoms or cardiovascular diseases.

In fact, neurosyphilis is no longer contagious. Penicillin is still used for treatment. However, although the disease is cured, the remaining symptoms, such as epilepsy and dementia, are difficult to recover, and the psychological trauma to the spouse is difficult to eliminate, so couples must be clean and self-respecting. If you make a mistake, you should go to the hospital for formal treatment in time.

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