Infectious Diseases Department, Infectious Diseases Hospital, National Medical Center "La Raza", IMSS, Ciudad de Mexico, Mexico.
Infectious Diseases Department, Infectious Diseases Hospital, National Medical Center "La Raza", IMSS, Ciudad de Mexico, Mexico.
J Infect Public Health. 2018 May-Jun;11(3):439-441. doi: 10.1016/j.jiph.2017.09.009. Epub 2017 Oct 6.
Currently, neurosyphilis is an uncommon disease and may occur at any stage of syphilis. Co-infection of syphilis with HIV can affect the clinical course. We report a case of meningovascular neurosyphilis in a patient with HIV in whom basilar artery thrombosis and reactive VDRL in CSF were detected. Treatment with penicillin was instituted with adequate response showing clinical improvement. Neurosyphilis is a differential diagnosis in young patients with cerebral infarction, especially in HIV patients.
目前，神经梅毒是一种罕见的疾病，可发生在梅毒的任何阶段。梅毒合并 HIV 感染可影响临床病程。我们报告了一例 HIV 感染患者的脑膜血管性神经梅毒，该患者检测到基底动脉血栓形成和脑脊液 VDRL 反应性。给予青霉素治疗后，患者有充分的反应，表现出临床改善。神经梅毒是年轻脑梗死患者，尤其是 HIV 患者的鉴别诊断之一。
