Post Date May, 16 2023
Chen Xiong (pseudonym) is a capable salesperson who has been running in Shanghai and Guangzhou for many years. He has been in good health for the past two years and has not been feeling well. The event must have started two years ago.
On the morning of the weekend, Chen Xiong suddenly felt a numbness in his toes, but it did not catch his attention or go to see a doctor. Surprisingly, this numbness gradually spread upwards: six months later, there was numbness in the parts below his knees, weakness in his lower limbs, and dizziness. This time, he felt that the matter was not so simple, so he went to the local hospital for treatment and was diagnosed with a lack of cerebral blood supply; Treatment such as Danshen injection did not improve symptoms.
A few months later, Chen Xiong felt even more severe: weakness in the area below the groin, and short pain (twinkling pain) in both feet. It is obvious at night, with an increase in frequency and degree of pain. Therefore, he went to the orthopedics department of the local hospital for treatment without reaching a definite conclusion. He went to neurology, ophthalmology, and other departments for treatment without reaching a definite conclusion. As a result, no effective treatment was received. A few months later, Chen Xiong felt his body getting worse and worse: numbness, weakness, unstable walking, paroxysmal pain in the lower limbs, and other symptoms of his left eye pupil dilation, difficulty in upper excretion, and abdominal distension. I asked him if he had any special symptoms in the external genitalia (genitalia), and he said that about 3 years ago, there was a large hardening of the penis, which later healed himself.
At my urging, he bluntly stated that he had been working for six years, including the disappearance of tendon reflexes, decreased muscle tone, urinary incontinence and erectile dysfunction in the early stages, delayed pupil response to light, late optic nerve atrophy, and visceral danger. Chen Xiong's symptoms of spinal tuberculosis are quite typical. After hospitalization, I first treated him with a small amount of prednisone acetate and a small amount of penicillin, and then gave him a large amount of penicillin solution combined with other drugs for treatment. Shortly after treatment, lightning pain quickly disappeared, and lower limb weakness, numbness, and decreased pain gradually disappeared from the proximal to the distal end. After a period of anti syphilis treatment, he recovered and was discharged from the hospital. Since then, Chen Xiong's illness has never been repeated.
Doctor's comment: Chen Xiong has a short medical history, rapid onset, and rapid disease progression, which is different from his previous understanding of syphilitic spinal tuberculosis. He has a long history of confusion and penile sclerosis, but he has not been taken seriously and has not received examination and treatment for syphilis. After experiencing neurological symptoms and follow-up examinations, he has been seeking medical treatment in multiple hospitals for a long time, unable to identify the cause and ineffective treatment. From this, it can be seen that sexually transmitted disease patients and high-risk groups should go to the dermatology department of regular hospitals for syphilis serological screening and monitoring, early detection and treatment, to prevent serious systemic damage caused by neurosyphilis and other syphilis. For young people with sexual disorder, the possibility of neurosyphilis must be considered if unexplained neurological and psychiatric symptoms and signs occur. Of course, to fundamentally prevent the occurrence of this disease, it is still necessary to clean oneself.
