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

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

Intern Med J

Department of Infectious Diseases, Royal Darwin Hospital, Darwin, Northern Territory, Australia.

Published: August 2018

AI Article Synopsis

  • A 37-year-old man experienced severe paralysis on his right side due to a stroke in the left side of his brain, which was initially thought to be caused by bacterial endocarditis.
  • After further examination, he was diagnosed with neurosyphilis, linked to undiagnosed HIV, and was treated successfully with benzylpenicillin.
  • The report emphasizes the need for healthcare professionals to consider neurosyphilis as a potential cause of stroke, especially in light of rising syphilis rates in Australia.

Article Abstract

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.

Download full-text PDF

Source
http://dx.doi.org/10.1111/imj.13974DOI Listing

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