Medial medullary stroke due to neurosyphilis in a newly diagnosed HIV-positive man

被引：2

作者：

Katelaris, Anthea L. ^{[1
,2
]}

Janson, Sonja ^{[2
]}

Ramachandran, Prashanth ^{[3
]}

Spencer, Emma ^{[2
]}

机构：

[1] London Sch Hyg & Trop Med, Fac Publ Hlth & Policy, London, England

[2] Royal Darwin Hosp, Dept Infect Dis, Darwin, NT, Australia

[3] Royal Darwin Hosp, Dept Neurol, Darwin, NT, Australia

来源：

INTERNAL MEDICINE JOURNAL | 2018年 / 48卷 / 08期

关键词：

neurosyphilis; syphilis; stroke; HIV; HUMAN-IMMUNODEFICIENCY-VIRUS; OF-THE-LITERATURE; MENINGOVASCULAR SYPHILIS; INFECTION;

D O I：

10.1111/imj.13974

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This case report presents the clinical record of a 37-year-old man who presented with a dense right hemiplegia, found to be caused by a left medial medullary stroke. The cause of the stroke was unclear, and bacterial endocarditis was initially suspected. However, he was ultimately found to have neurosyphilis on a background of undiagnosed human immunodeficiency virus and was treated with benzylpenicillin. This case report reviews the diagnosis of neurosyphilis and highlights the importance of considering neurosyphilis as a rare but important cause of stroke, especially given the increasing prevalence of syphilis in Australia.

引用

页码：992 / +

页数：4

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