Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of Neurosyphilis
| Autor: | Tan Seow Yen, Kalimullah Jan, Rebecca Hoe Hui Min, Shekhawat Ravindra Singh |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry Human immunodeficiency virus (HIV) Case Report medicine.disease medicine.disease_cause Positive patient lcsh:RC346-429 Neurosyphilis 03 medical and health sciences 0302 clinical medicine Ischemic stroke medicine 030212 general & internal medicine Presentation (obstetrics) Differential diagnosis General Agricultural and Biological Sciences business Vasculitis Stroke lcsh:Neurology. Diseases of the nervous system 030217 neurology & neurosurgery |
| Zdroj: | Case Reports in Neurological Medicine Case Reports in Neurological Medicine, Vol 2018 (2018) |
| ISSN: | 2090-6676 2090-6668 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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