Tag: neurosyphilis
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Douglas Argyll Robertson and his pupils
JMS PearceHull, England In my student days, the Wasserman reaction (WR), though not specific, was performed almost routinely in patients on medical wards to detect syphilis. Several direct and serological tests of varying sensitivity and specificity have now replaced the WR. Since reaching a historic low in 2000 and 2001, the incidence of syphilis has increased…
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Diagnosing Mona Lisa
Howard FischerUppsala, Sweden “Mona Lisa looks as if she has just been sick, or is about to be.”– Noel Coward Leonardo da Vinci (1452–1519) was a many-talented genius of the Italian Renaissance. He was a painter, anatomist, engineer, and inventor. One of his best known paintings, a portrait of a noblewoman, is called the Mona…
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Diagnosis: Neurosyphilis. Treatment: Malaria, iatrogenic
Howard FischerUppsala, Sweden “The syphilitic man was thinking hard…about how to get his legs to step off the curb and carry him across Washington Street. Here was his problem: His brains, where the instructions to his legs originated, were being eaten alive by corkscrews.”– Kurt Vonnegut, The Breakfast of Champions Julius Wagner-Jauregg, M.D. (1857–1940) graduated…
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Frederick Delius and his neurological disease
The life of the English composer Frederick Delius and his tragic encounter with the spirochaeta pallida has been extensively documented. He was born in 1862 in the industrial Yorkshire town of Bradford. His family had come to England from Germany but was originally Dutch, having changed its name in the sixteenth century from Delij or…
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Can behavioral variant frontotemporal dementia salvage Semmelweis?
Faraze A. NiaziJack E. RiggsMorgantown, West Virginia, United States Remember me for the mind I had; not the mind a disease created. Few physicians have made a more significant observation than did Ignaz Semmelweis.1 In 1847 he took over two obstetric divisions at the Vienna General Hospital. In Division 1, where babies were delivered by…
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Heinrich Heine and the mattress tomb
Nicolás Roberto Robles Badajoz, Spain Harry Heine was born in Bolkerstrasse, Düsseldorf, Germany. He jokingly described himself as the “first man of the century,” claiming that he had been born on New Year’s Eve 1800. Researchers have discovered, however, that December 13, 1797, is most likely the date of his birth. The oldest of four children,…
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Friedrich Nietzsche—much afflicted philosopher
Friedrich Nietzsche was one of the most important philosophers of the nineteenth century. Though often misinterpreted, his influence has been enormous. Like his compatriot Schopenhauer, he questioned the comfortable beliefs of the conservative bourgeoisie of his time. His writings have fascinated generations of readers, his style was exquisite, his ideas original. Bertrand Russell called him…