Ischemic Stroke as the Initial Manifestation of Neurosyphilis in a Young Adult Patient Positive for Human Immunodeficiency Virus

Numao, Ayaka and Suzuki, Keisuke and Takekawa, Hidehiro and Nakamura, Toshiki and Iwanami, Hisatake and Izawa, Naoki and Iwasaki, Akio and Fujita, Hiroaki and Watanabe, Yuji and Hirata, Koichi (2014) Ischemic Stroke as the Initial Manifestation of Neurosyphilis in a Young Adult Patient Positive for Human Immunodeficiency Virus. European Journal of Case Reports in Internal Medicine, 1 (1). pp. 1-5. ISSN 2284-2594

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Official URL: http://ejcrim.com/index.php/EJCRIM/article/view/97

Abstract

A 31-year-old man with pontine infarction was referred to our hospital for further evaluation and treatment. At admission, his neurological examination was unremarkable. No lymphadenopathy or skin lesions were found. The Treponema pallidum haemagglutination test, rapid plasma regain test and fluorescent treponemal antibody absorption test of immunoglobulin G were positive in both serum and cerebrospinal fluid (CSF). CSF analysis showed lymphocytic pleocytosis. The patient had male-to-male sexual contact and was found to be HIV positive. Physicians should be aware that acute ischaemic stroke may be the first manifestation of neurosyphilis in a young adult, especially with HIV infection.

Item Type: Article
Uncontrolled Keywords: Neurosyphilis, human immunodeficiency virus, young adult, initial symptom
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.8 Malattie del sistema nervoso e disturbi mentali (Classificare qui la Neuropsichiatria, la Neurologia)
Depositing User: Chiara D'Arpa
Date Deposited: 07 Sep 2016 15:29
Last Modified: 07 Sep 2016 15:29
URI: http://eprints.bice.rm.cnr.it/id/eprint/14954

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