Neurosyphilis with oral‑facial‑lingual dyskinesia: A case report

. The present study describes the case of a 52-year-old male patient who presented with subacute onset dysarthria and oral-facial-lingual dyskinesia, with normal blood glucose and acanthocyte levels, and no history of drug use. The patient tested negative for autoimmune encephalitis-related antibodi...

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Veröffentlicht in:Experimental and therapeutic medicine 2023-11, Vol.26 (5), Article 520
Hauptverfasser: Liang, Yingfang, Li, Bixun, Ou, Danyan, Li, Guoliang, Zeng, Hao
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creator Liang, Yingfang
Li, Bixun
Ou, Danyan
Li, Guoliang
Zeng, Hao
description . The present study describes the case of a 52-year-old male patient who presented with subacute onset dysarthria and oral-facial-lingual dyskinesia, with normal blood glucose and acanthocyte levels, and no history of drug use. The patient tested negative for autoimmune encephalitis-related antibodies and paraneoplastic-related antibodies. The level of cerebrospinal fluid (CSF) protein was slightly elevated, and the Treponema pallidum hemagglutination assay and rapid plasma reagin test were positive in both serum and CSF samples. After 1 month of treatment with doxycycline, the patient's oral-facial-lingual dyskinesia was significantly improved, suggesting the diagnosis of neurosyphilis. Key words: syphilis, dyskinesia, rhythmic orofacial involuntary movements, neurosyphilis, orofacial
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The present study describes the case of a 52-year-old male patient who presented with subacute onset dysarthria and oral-facial-lingual dyskinesia, with normal blood glucose and acanthocyte levels, and no history of drug use. The patient tested negative for autoimmune encephalitis-related antibodies and paraneoplastic-related antibodies. The level of cerebrospinal fluid (CSF) protein was slightly elevated, and the Treponema pallidum hemagglutination assay and rapid plasma reagin test were positive in both serum and CSF samples. After 1 month of treatment with doxycycline, the patient's oral-facial-lingual dyskinesia was significantly improved, suggesting the diagnosis of neurosyphilis. 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The present study describes the case of a 52-year-old male patient who presented with subacute onset dysarthria and oral-facial-lingual dyskinesia, with normal blood glucose and acanthocyte levels, and no history of drug use. The patient tested negative for autoimmune encephalitis-related antibodies and paraneoplastic-related antibodies. The level of cerebrospinal fluid (CSF) protein was slightly elevated, and the Treponema pallidum hemagglutination assay and rapid plasma reagin test were positive in both serum and CSF samples. After 1 month of treatment with doxycycline, the patient's oral-facial-lingual dyskinesia was significantly improved, suggesting the diagnosis of neurosyphilis. 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The present study describes the case of a 52-year-old male patient who presented with subacute onset dysarthria and oral-facial-lingual dyskinesia, with normal blood glucose and acanthocyte levels, and no history of drug use. The patient tested negative for autoimmune encephalitis-related antibodies and paraneoplastic-related antibodies. The level of cerebrospinal fluid (CSF) protein was slightly elevated, and the Treponema pallidum hemagglutination assay and rapid plasma reagin test were positive in both serum and CSF samples. After 1 month of treatment with doxycycline, the patient's oral-facial-lingual dyskinesia was significantly improved, suggesting the diagnosis of neurosyphilis. Key words: syphilis, dyskinesia, rhythmic orofacial involuntary movements, neurosyphilis, orofacial</abstract><cop>Athens</cop><pub>Spandidos Publications</pub><doi>10.3892/etm.2023.12219</doi><oa>free_for_read</oa></addata></record>
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subjects Antibodies
Autoimmune diseases
Blood
Brain diseases
Case Report
Case reports
Causes of
Complications and side effects
Diagnosis
Diagnostic tests
Disease
Drinking water
Drug abuse
Drug therapy
Dysarthria
Dyskinesia
Encephalitis
Hepatitis
Ischemia
Medical diagnosis
Memory
Mental disorders
Movement disorders
Nervous system
Neurosyphilis
Parkinson's disease
Penicillin
Proteins
Substance abuse treatment
Syphilis
title Neurosyphilis with oral‑facial‑lingual dyskinesia: A case report
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