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PMID- 29390306
OWN - NLM
STAT- In-Process
LR  - 20180202
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Syphilis of the lumbar spine: A case report and review of the literature.
PG  - e9098
LID - 10.1097/MD.0000000000009098 [doi]
AB  - RATIONALE: Tertiary syphilis can manifest as gummatous disease, but gumma of the 
      spine has been extremely rarely reported. PATIENT CONCERNS: A 61-year-old male
      complained of worsening pain and numbness in both lower legs for four weeks.
      DIAGNOSES: Syphilis of the Lumbar Spine. INTERVENTIONS: Pedicle screw fixation
      (L3-S1) and posterior decompression of the vertebral canal at L4-5 were
      performed. OUTCOMES: The postoperative VAS score of both lower extremities
      decline to 2 from 7 at admission. Dorsal thumb extensor motor power (left/right) 
      at day 7 postoperatively was 3/3 (versus admission: 1/1). Laboratory examinations
      showed normal white blood cell count (versus admission: 13.8 x 10/L; reference
      value: 4.00-10.00 x 10/L) and decline in C-reactive protein (20.35 mg/L versus
      admission: 77.43 mg/L; reference value: 0.00-10.00 mg/mL) and ESR (58 mm versus
      admission: 73 mm; reference value: 0-15 mm). LESSONS: Our case illustrates that
      although gummatous disease of the spine may be extremely rare, it should be
      considered in the differential diagnosis of tuberculosis or malignancy of the
      spine so as to avoid a wrong diagnosis and incorrect treatment.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Yin, Ruofeng
AU  - Yin R
AD  - Department of Orthopedic.
FAU - Wang, Liping
AU  - Wang L
AD  - Department of Pathology, China-Japan Union Hospital, Jilin University, Jilin,
      China.
FAU - Zhang, Tinglong
AU  - Zhang T
AD  - Department of Orthopedic.
FAU - Zhao, Baolin
AU  - Zhao B
AD  - Department of Orthopedic.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2018/02/03 06:00
MHDA- 2018/02/03 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/03 06:00 [medline]
AID - 10.1097/MD.0000000000009098 [doi]
AID - 00005792-201712150-00056 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e9098. doi: 10.1097/MD.0000000000009098.