Meningovascular Neurosyphilis in HIV Coinfected Patient
DOI:
https://doi.org/10.60591/crspmi.202Keywords:
Coinfection, HIV Infections, NeurosyphilisAbstract
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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Copyright (c) 2024 Catarina Carreira da Costa, Sara Aleixo Cabrita, Pedro Gomes Santos, João Ferreira de Sousa, Motasem Shamasna
This work is licensed under a Creative Commons Attribution 4.0 International License.
