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Neurosyphilis presenting as cranial nerve palsy, an entity which is easy to miss
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Neurosyphilis presenting as cranial nerve palsy, an entity which is easy to miss
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Journal Article
Neurosyphilis presenting as cranial nerve palsy, an entity which is easy to miss
2019
Overview
Neurosyphilis is a rare disease that until the 2000s was almost eradicated due to population awareness of HIV and efficient treatment. Since then, the prevalence of the entity is rising due to risk-associated behaviour such as unprotected intercourse. Neurosyphilis is still a difficult entity to diagnose especially when combined with acute HIV infection which can influence the usual clinical course of disease. In rare occasions, both acute HIV and early syphilis infection can present as mono or multiple cranial nerve palsies. This case demonstrates a rare manifestation of misdiagnosed early syphilis infection combined with acute HIV infection in a 34-year-old man with prior history of unprotected sex with men.
Publisher
BMJ Publishing Group LTD,BMJ Publishing Group
Subject
/ Anti-Bacterial Agents - therapeutic use
/ Blood
/ Cranial Nerve Diseases - diagnostic imaging
/ Cranial Nerve Diseases - microbiology
/ Cranial Nerve Diseases - physiopathology
/ Dysarthria - physiopathology
/ Facial Paralysis - microbiology
/ Facial Paralysis - physiopathology
/ Hearing Loss - physiopathology
/ HIV
/ HIV Infections - physiopathology
/ Human immunodeficiency virus
/ Humans
/ Male
/ Neurosyphilis - drug therapy
/ Neurosyphilis - microbiology
/ Neurosyphilis - physiopathology
/ Patients
/ Penicillin G - therapeutic use
/ Proteins
/ Sexually transmitted diseases
/ STD
/ Steroids
/ Syphilis
