Syphilis is a common infection that has variable presentations. We report a rare case of a 64-year-old male with 3 weeks of abdominal pain, back pain, and neurologic deficits including memory impairment who was found to have neurosyphilis causing a cholestatic liver injury. Workup included a positive rapid plasma reagin (RPR) and enzyme immunoassay (EIA), a positive cerebrospinal fluid (CSF) venereal disease research laboratory (VDRL), and a liver biopsy, which was compatible with a diagnosis of syphilitic hepatitis.
View Article and Find Full Text PDFEmpyema is a serious complication of pneumonia and has been reported to have a mortality rate of 8.7%. For methicillin-resistant (MRSA) empyema, treatment includes drainage and specific antibiotics such as vancomycin and linezolid.
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