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Stroke in a young patient with neurosyphilis and HIV.
Int J STD AIDS 2017; 28(3):306-309IJ

Abstract

Syphilis has long been known as the great imitator. Its heterogeneity can manifest in the form of meningitis, space occupying gummas, vasculitis, strokes, cranial neuropathies, myelopathy, dementia, and seizures. The incidence has been rising with each year, mainly in men who have sex with men accounting for 83% of cases. With the coexistence of immunocompromised states, especially HIV (human immunodeficiency virus), the usually chronic and insidious course of tertiary neurosyphilis can be accelerated. Stroke can occur as a result of neurosyphilis in its meningovascular form, and the likelihood of this increases with HIV co-infection, especially in high-risk groups such as intravenous drug users and men who have sex with men. Here, we discuss a case of a young man who presented with an ischemic stroke found to have neurosyphilis and HIV and consider the management of these co-morbid conditions.

Authors+Show Affiliations

1 Department of Neurology, Temple University Hospital, Philadelphia, PA, USA.2 Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.2 Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27510644

Citation

Patira, Riddhi, et al. "Stroke in a Young Patient With Neurosyphilis and HIV." International Journal of STD & AIDS, vol. 28, no. 3, 2017, pp. 306-309.
Patira R, Smith-Benjamin S, Wang JJ. Stroke in a young patient with neurosyphilis and HIV. Int J STD AIDS. 2017;28(3):306-309.
Patira, R., Smith-Benjamin, S., & Wang, J. J. (2017). Stroke in a young patient with neurosyphilis and HIV. International Journal of STD & AIDS, 28(3), pp. 306-309. doi:10.1177/0956462416665029.
Patira R, Smith-Benjamin S, Wang JJ. Stroke in a Young Patient With Neurosyphilis and HIV. Int J STD AIDS. 2017;28(3):306-309. PubMed PMID: 27510644.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stroke in a young patient with neurosyphilis and HIV. AU - Patira,Riddhi, AU - Smith-Benjamin,Sarah, AU - Wang,Jijo J, Y1 - 2016/08/20/ PY - 2016/8/12/pubmed PY - 2018/1/3/medline PY - 2016/8/12/entrez KW - Bacterial disease KW - HAART KW - HIV KW - homosexual KW - screening KW - syphilis SP - 306 EP - 309 JF - International journal of STD & AIDS JO - Int J STD AIDS VL - 28 IS - 3 N2 - Syphilis has long been known as the great imitator. Its heterogeneity can manifest in the form of meningitis, space occupying gummas, vasculitis, strokes, cranial neuropathies, myelopathy, dementia, and seizures. The incidence has been rising with each year, mainly in men who have sex with men accounting for 83% of cases. With the coexistence of immunocompromised states, especially HIV (human immunodeficiency virus), the usually chronic and insidious course of tertiary neurosyphilis can be accelerated. Stroke can occur as a result of neurosyphilis in its meningovascular form, and the likelihood of this increases with HIV co-infection, especially in high-risk groups such as intravenous drug users and men who have sex with men. Here, we discuss a case of a young man who presented with an ischemic stroke found to have neurosyphilis and HIV and consider the management of these co-morbid conditions. SN - 1758-1052 UR - https://www.unboundmedicine.com/medline/citation/27510644/Stroke_in_a_young_patient_with_neurosyphilis_and_HIV_ L2 - http://journals.sagepub.com/doi/full/10.1177/0956462416665029?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -