Neurosyphilis (NS) is a group of diseases with a series of nervous system symptoms when Treponema pallidum infects the central nervous system, with an unknown pathogenesis and significant heterogeneity in clinical manifestations. It is called the “universal imitator”, leading to a high misdiagnosis rate in clinical practice. Cognitive impairment is one of the most common clinical manifestations of NS, but delayed diagnosis may cause irreversible neuronal damage. Therefore, early identification of NS with the main manifestation of mild cognitive impairment is of great importance for achieving a good prognosis of patients. This article reports a case of NS with the main manifestation of mild cognitive impairment and reviews its clinical features, in order to improve the understanding of this disease among clinicians.
Neurosyphilis