ACUTE SYPHILITIC ANTERIOR POLIOMYELOPATHIC SYNDROME

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Abstract
In rare instances syphilis has been reported as responsible for the origin of the syndrome of acute anterior poliomyelitis. Another case is here added to the list. REPORT OF CASE A white man aged 29 was admitted to the Johns Hopkins Hospital (service of Dr. W. T. Longcope) on March 22, 1942, complaining of inability to swallow and weakness of both legs. The illness began a fortnight earlier with sore throat and temporary double vision. Later he had difficulty in swallowing (fluids regurgitating through the nose) and increasing paralysis of the legs. A lumbar puncture (done at another hospital on the day before admission) revealed a cell count of 100 cells (small mononuclears) per hundred cubic centimeters of fluid and an increase of globulin. It was believed that he had acute anterior poliomyelitis, and he was sent to the isolation ward of the Johns Hopkins Hospital. His earlier history was

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