Meningovascular Neurosyphilis in HIV Coinfected Patient

Authors

  • Catarina Carreira da Costa Serviço de Medicina Interna, Unidade Local Saúde Algarve, Unidade de Faro, Faro, Portugal https://orcid.org/0009-0003-0430-0190
  • Sara Aleixo Cabrita Serviço de Medicina Interna, Unidade Local Saúde Algarve, Unidade de Faro, Faro, Portugal https://orcid.org/0000-0002-3615-2351
  • Pedro Gomes Santos Serviço de Medicina Interna, Unidade Local Saúde Algarve, Unidade de Faro, Faro, Portugal
  • João Ferreira de Sousa Serviço de Doenças Infeciosas https://orcid.org/0009-0006-2586-3437
  • Motasem Shamasna Serviço de Neurologia, Unidade Local Saúde Algarve, Unidade de Faro, Faro, Portugal

DOI:

https://doi.org/10.60591/crspmi.202

Keywords:

Coinfection, HIV Infections, Neurosyphilis

Abstract

Syphilis is a reemergent disease, with a prevalence increase
in Portugal of 14.8 times in five years (2016-2021). In people living with human immunodeficiency virus (HIV), syphilis appears in atypical and more severe forms, mainly in
patients with severe immunosuppression, being neurosyphilis one of the paradigms.

We present a clinical case of a 29 years-old man with
headache for one month, and sudden transitory speech impairment and left hemifacial paraesthesia. After clinical investigation, he was diagnosed with neurosyphilis in the form of syphilitic meningitis and meningovascular syphilis. In this episode, he was also diagnosed with HIV infection.

Neurosyphilis remains an important differential diagnose
of ischemic stroke. However, there are some specificities in
syphilis/HIV coinfection that deserve attention due to the increase in prevalence.

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References

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Published

05-07-2024

How to Cite

Carreira da Costa, C., Aleixo Cabrita, S., Gomes Santos, P., Ferreira de Sousa, J., & Shamasna, M. (2024). Meningovascular Neurosyphilis in HIV Coinfected Patient. SPMI Case Reports, 2(2), 63–66. https://doi.org/10.60591/crspmi.202

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