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Syphilitic aseptic meningitis

  • Alternative Names

    Meningitis - syphilitic

    • Changes in vision, blurred vision, decreased vision
    • Fever
    • Headache
    • Mental status changes
      • Confusion
      • Disorientation
      • Decreased attention span
      • Irritability
      • Sleepiness, lethargy, hard to wake
    • Nausea, vomiting
    • Neck pain
    • Seizures
    • Sensitivity to light (photophobia)
    • Sensitivity to loud noises
    • Stiff neck
    • Stiffness of shoulders, other muscle aches

    Signs and tests

    An examination may show signs of meningitis. There may be a loss of nerve functions. A brain and nervous system (neurologic) examination may show reduced function of the cranial nerve, including the nerves that control eye movement.

    Tests may include:

    • Cerebral angiography
    • CSF (cerebrospinal fluid) examination
    • Electroencephalogram (EEG)
    • Head CT scan
    • Serum VDRL or serum RPR (used as screening tests to detect syphilis infection) -- if positive, requires one the following to confirm diagnosis:
      • FTA-ABS
      • MHA-TP