Acute myelitis is rarely seen in early syphilis; therefore, when it occurs immediately after treatment with the arsenicals, the possibility of a toxic involvement of the spinal cord as well as a syphilitic myelitis must be considered. Involvement of the nervous system in the early stages of syphilis has been reported by various authors. Wile and Stokes 1 found that the spinal fluid in primary or secondary syphilis frequently showed a lymphocytosis, increased albumin and globulin content and a positive complement-fixation test. These observations were not accompanied by paralysis and indicated merely meningeal irritation. Reactions to arsphenamine affecting the nervous system manifest themselves in various forms. Morton 2 classified them as follows: Nitritoid Crisis. This condition is a manifestation of anaphylaxis occurring during the administration of the drug. Arsenical Poisoning. The symptoms of this condition occur within a few hours after the administration of arsphenamine and consist of a chill,
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