Flail Foot- Common presentation Of an Uncommon Disease

Abstract

Neurosyphilis is classically associated with meningovascular syphilis in the acute-subacute stage and tabes dorsalis & dementia
paralytica in later stages. But cases presenting as demyelinating polyradiculoneuropathy are uncommon. A 27 yr old male presented
with ascending polyneuropathy with electrodiagnostic testing consistent with Guillain-Barre Syndrome (GBS).He had CSF VDRL
TPHA positive, supporting a diagnosis of neurosyphilis associated with GBS.This case highlights the importance of considering
syphilis in any patient presenting with acute polyradiculoneuropathy