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

Anthea L Katelaris1,2, Sonja Janson2, Prashanth Ramachandran3

  • 1Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.

Internal Medicine Journal
|August 23, 2018
PubMed

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.

Keywords:
HIVneurosyphilisstrokesyphilis

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