Five cases of cerebral symptoms in early (secondary) syphilis / by F.B. Greenough.

  • Greenough, Francis Boott.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Five cases of cerebral symptoms in early (secondary) syphilis / by F.B. Greenough. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    reports a ease where epilepsy occurred five months after infection. Dr. Schwarz’s case had severe headache forty days after the development of the primary lesion, and on the forty-sixth day hemi- plegia. Another case had an apoplectic attack seven mouths after the chancre, a female patient one five months after the appearance of her primary lesion. Dr. A. Sydney Robert*'* (Philadelphia) case had a fit two mouths and eight days after the appearance of a chancre, which developed after a period of incubation of twenty-six days. Unmis- takable cerebral syphilis followed, but convales- cence under active antisypbilitic treatment. These are some of the cases of early cerebral syphilis that I find record of, and are enough to show that, although rare, precocious cerebral syph- ilis is recognized. The following cases that have come under my own observation 1 will report in as condensed a manner as is consistent with calling attention to their im|>ortant points. (.'ask 1. On July 5, 1*7*. I was visited by a gentleman for advice. He was a lawyer, aged tiiir- tv-eight, reported his health as good, and ap- pearal to be a strong, healthy young man. About two weeks after connection he had noticed a sore on the prepuce, which at the time of visit was a typical primary syphilitic lesion. The induration was well marked and quite large, and the inguinal glands in t>oth groins were enlarged. In the latter part of August he hud some soreness and congestion of the fauces, and on September 7th a macular syphibdc appeared on his trunk and thighs. The eruption was not a verv full one, ami was entirely macular. In October he had some manifestations of seconda- ry symptoms on the mucous membranes, that is, sore throat, with some congestion of tire fauces,
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