Meningovascular syphilis presenting as a brain mass in an immunocompetent male
Keyword(s):
16S Rrna
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Abstract We present a case of an HIV-negative man with syphilitic meningovascular disease with subjacent involvement of brain parenchyma leading to a mass-forming inflammatory lesion that was pathologically distinct from a typical gumma. Syphilis was diagnosed after tissue obtained from a brain biopsy demonstrated spirochetes consistent with Treponema pallidum and confirmed by 16S rRNA sequencing.