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Meningeal syphilis : ウィキペディア英語版
Meningeal syphilis

Meningeal syphilis (as known as syphilitic aseptic meningitis or meningeal neurosyphilis) is a chronic form of syphilis infection that affects the central nervous system. Treponema pallidum, which is a spirochate bacterium, is the main cause of syphilis, which spreads drastically throughout the body and can infect all the systems of the body if not treated appropriately. The bacterium is the main cause of the onset of meningeal syphilis and other treponemal diseases, and it consists of a cytoplasmic and outer membrane that can cause a diverse array of diseases in the central nervous system and brain.
Early symptomatic neurosyphillis (or acute syphilitic meningitis or neurorecurrence) is the onset of meningeal syphilis. The symptoms arise as a result of inflamed meninges, which eventually lead up to signs of meningitis.
''Treponema pallidum'' invades the nervous system within three to eighteen months after the primary infection. The initial series of events is asymptomatic meningitis, which can remain in the human body system and produce more damage within the body. Every form of neurosyphilis has meningitis as a component; however, every case differs in severity. The individual is infected with syphilis through a gram negative bacteria that only humans can obtain. Syphilis has four stages of infection, which are primary, secondary, latent, and tertiary. If syphilis is not treated, the disease can affect various other systems in the body, including the brain, heart, and vessels. The infection of the heart and vessels leads to meningovascular syphilis, which is usually presented during the secondary stage of syphilis. If syphilis is prolonged, it can affect the nervous system, which is known as neurosyphilis. Meningeal syphilis is a component of neurosyphilis, which usually occurs in the tertiary stage of syphilis.
== Anatomy of disease ==

Meningitis inflames and breaks down any protective membrane and cells surrounding the brain, spinal cord, and other parts of the nervous system. Bacterial meningitis is normally caused by a bacterial infection that enters the bloodstream and enters the blood-brain barrier. The blood-brain barrier consists of tight junctions. These tight junctions help to enclose endothelial cells that line the brain capillaries. Only certain water-soluble substances can move across the blood-brain barrier, while lipid-soluble substances can easily move across the blood-brain barrier. However, when any form of bacteria gets through to the blood-brain barrier, a bacterial infection can result in the cerebrospinal fluid.
This fluid circulates through the brain and spinal cord, and it is produced in the choroid plexuses. The meninges consists of three connective tissues that cover the spinal cord and brain. They are lined with vertebral cavities, which is used as protection for the central nervous system. When the cerebrospinal fluid is infected, the meninges become inflamed and can start to deteriorate. This inflammation of the membranes causes meningitis.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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