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Case Report
BRAIN

Osteomyelitis of the Skull in Early-Acquired Syphilis: Evaluation by MR Imaging and CT

I. Huanga, J.L. Leacha,d, C.J. Fichtenbaumb and R.K. Narayanc,d

a Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, Ohio
b Department of Infectious Diseases, University of Cincinnati College of Medicine, Cincinnati, Ohio
c Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio
d The Neuroscience Institute, Cincinnati, Ohio

Please address correspondence to James L. Leach, MD, University Hospital, Department of Radiology, 234 Goodman Ave, Cincinnati, OH 45267-0761; e-mail: James.Leach{at}uc.edu

SUMMARY: We present an unusual case of acquired secondary syphilis manifesting as osteomyelitis of the skull in a patient with a history of human immunodeficiency virus infection, evaluated by CT, volumetric CT reconstructions, and MR imaging.