Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of Neurosyphilis

Ischemic stroke occurring in patients with human immunodeficiency virus (HIV) needs to be approached with a vast differential diagnosis in mind. We report a case of middle-aged male patient with immune reconstituted HIV on therapy without known cardiovascular risk factors who had a right middle cere...

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Bibliographic Details
Published in:Case reports in neurological medicine 2018-01, Vol.2018 (2018), p.1-5
Main Authors: Ravindra Singh, Shekhawat, Seow Yen, Tan, Hoe Hui Min, Rebecca, Jan, Kalimullah
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Antigens
Atherosclerosis
Blood pressure
Brain diseases
Case Report
Case reports
CT imaging
Health aspects
HIV
HIV patients
Hospitals
Human immunodeficiency virus
Infections
Infectious diseases
Laboratories
Medical imaging
Neurology
Neurosciences
Neurosyphilis
NMR
Nuclear magnetic resonance
Proteins
Risk factors
Stroke
Stroke (Disease)
Syphilis
Ultrasonic imaging
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Summary:Ischemic stroke occurring in patients with human immunodeficiency virus (HIV) needs to be approached with a vast differential diagnosis in mind. We report a case of middle-aged male patient with immune reconstituted HIV on therapy without known cardiovascular risk factors who had a right middle cerebral artery territory infarct. After a thorough evaluation, he received a final diagnosis of neurosyphilis-associated vasculitis leading to stroke. He recovered without any neurological deficits following treatment with intravenous benzylpenicillin. Neurosyphilis is an easily diagnosed and treatable cause of a stroke that can be an initial presentation of neurosyphilis but requires a high index of suspicion.
ISSN:2090-6668
2090-6676
DOI:10.1155/2018/2410154