Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of Neurosyphilis
Autor: | Kalimullah Jan, Rebecca Hoe Hui Min, Tan Seow Yen, Shekhawat Ravindra Singh |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: | |
Zdroj: | Case Reports in Neurological Medicine, Vol 2018 (2018) |
Druh dokumentu: | article |
ISSN: | 2090-6668 2090-6676 |
DOI: | 10.1155/2018/2410154 |
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: | Directory of Open Access Journals |
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