Cerebral infarction as initial manifestation of meningovascular neurosyphilis in an immunocompetent patient – A case report with long term follow‐up

To present a 29‐year‐old immunocompetent patient with neurosyphilitic changes characterized by multiple acute ischemic brain strokes along with significant narrowing of several large intracranial arteries. Ceftriaxone treatment for 14 days followed by benzathine benzylpenicillin weekly for additiona...

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Published in:Clinical case reports 2023-03, Vol.11 (3), p.e7021-n/a
Main Authors: Batinić, Davor, Antulov, Ronald, Klupka‐Sarić, Inge, Ivanković, Anita, Jurina, Renata, Karlović Vidaković, Marijana, Talić Drlje, Ivana, Arapović, Jurica
Format: Article
Language:English
Subjects:
Blood vessels
Brain diseases
Carotid arteries
Case Report
Case reports
Conflicts of interest
Consent
Editing
Immunocompetence
Infections
Laboratories
Magnetic resonance imaging
Medical imaging
neurosyphilis
Patients
Penicillin
Serology
Steroids
Stroke
Syphilis
syphilitic arteritis
Veins & arteries
Writing
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Summary:To present a 29‐year‐old immunocompetent patient with neurosyphilitic changes characterized by multiple acute ischemic brain strokes along with significant narrowing of several large intracranial arteries. Ceftriaxone treatment for 14 days followed by benzathine benzylpenicillin weekly for additional 3 weeks, showed improvement in meningovascular changes. Antimicrobial therapy in a 29‐year‐old immunocompetent patient with meningovascular neurosyphilis and subsequent ischemic brain strokes resulted in substantial regression of intracranial vessel changes and complete regression of neurological deficit.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.7021