Acute syphilitic meningitis in an HIV-infected patient. (2018)

• Record Type: Journal Article
• Authors: Wagemakers, Alex; Hepp, Dagmar; Killestein, Joep; Peferoen, Laura; Ang, Wim
• Is Part Of: IDCases. Volume 13(2018)
• Publication Date: 2018
• Subjects: Syphilis -- Treponema pallidum -- Meningitis; MSM men who have sex with men; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2018.e00423
• Languages: English
• ISSNs: 2214-2509

Abstract

Abstract: We present a case of acute syphilitic meningitis in a 28-year old HIV-infected patient, presenting with a seizure. MRI revealed a meningeal lesion with cortical involvement, and the patient described previous treatment for syphilis. Final diagnosis was established by PCR and spirochete staining on a brain biopsy, upon which the patient was successfully treated with benzylpenicillin.