一名新诊断为HIV阳性男性因神经梅毒导致内侧延髓卒中。

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

作者信息

Katelaris Anthea L, Janson Sonja, Ramachandran Prashanth, Spencer Emma

机构信息

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

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

出版信息

Intern Med J. 2018 Aug;48(8):992-995. doi: 10.1111/imj.13974.

DOI:10.1111/imj.13974

PMID:30133989

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.

摘要

本病例报告展示了一名37岁男性的临床记录，该患者出现右侧严重偏瘫，经检查发现是由左侧延髓内侧中风所致。中风原因不明，最初怀疑是细菌性心内膜炎。然而，最终发现他在未诊断出人类免疫缺陷病毒的背景下患有神经梅毒，并接受了苄星青霉素治疗。本病例报告回顾了神经梅毒的诊断，并强调了将神经梅毒视为中风的一种罕见但重要病因的重要性，特别是考虑到梅毒在澳大利亚的患病率不断上升。