Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of Neurosyphilis
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 cere...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/2410154 |
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| _version_ | 1849694511487254528 |
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| author | Kalimullah Jan Rebecca Hoe Hui Min Tan Seow Yen Shekhawat Ravindra Singh |
| author_facet | Kalimullah Jan Rebecca Hoe Hui Min Tan Seow Yen Shekhawat Ravindra Singh |
| author_sort | Kalimullah Jan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-fa459e37b9054abf9d2c5e22a83eb2c0 |
| institution | DOAJ |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-fa459e37b9054abf9d2c5e22a83eb2c02025-08-20T03:20:02ZengWileyCase Reports in Neurological Medicine2090-66682090-66762018-01-01201810.1155/2018/24101542410154Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of NeurosyphilisKalimullah Jan0Rebecca Hoe Hui Min1Tan Seow Yen2Shekhawat Ravindra Singh3Department of Medicine, Changi General Hospital, SingaporeDepartment of Medicine, Changi General Hospital, SingaporeDepartment of Infectious Diseases, Changi General Hospital, SingaporeDepartment of Neurology, Changi General Hospital, SingaporeIschemic 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.http://dx.doi.org/10.1155/2018/2410154 |
| spellingShingle | Kalimullah Jan Rebecca Hoe Hui Min Tan Seow Yen Shekhawat Ravindra Singh Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of Neurosyphilis Case Reports in Neurological Medicine |
| title | Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of Neurosyphilis |
| title_full | Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of Neurosyphilis |
| title_fullStr | Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of Neurosyphilis |
| title_full_unstemmed | Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of Neurosyphilis |
| title_short | Ischemic Stroke in an HIV Positive Patient: An Initial Presentation of Neurosyphilis |
| title_sort | ischemic stroke in an hiv positive patient an initial presentation of neurosyphilis |
| url | http://dx.doi.org/10.1155/2018/2410154 |
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