z-logo
Premium
Medial medullary stroke due to neurosyphilis in a newly diagnosed HIV‐positive man
Author(s) -
Katelaris Anthea L.,
Janson Sonja,
Ramachandran Prashanth,
Spencer Emma
Publication year - 2018
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.13974
Subject(s) - medicine , neurosyphilis , syphilis , stroke (engine) , medullary cavity , human immunodeficiency virus (hiv) , pediatrics , endocarditis , benzylpenicillin , surgery , virology , penicillin , antibiotics , mechanical engineering , microbiology and biotechnology , engineering , biology
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.

This content is not available in your region!

Continue researching here.

Having issues? You can contact us here