Syphilitic meningitis in HIV-patients with meningeal syndrome: report of two cases and review



Document title: Syphilitic meningitis in HIV-patients with meningeal syndrome: report of two cases and review
Journal: The brazilian journal of infectious diseases
Database: PERIÓDICA
System number: 000290651
ISSN: 1413-8670
Authors: 1
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1
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Institutions: 1Hospital Eduardo de Menezes, Belo Horizonte, Minas Gerais. Brasil
Year:
Season: Oct
Volumen: 5
Number: 5
Pages: 280-287
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico, analítico
English abstract Few patients with symptomatic neurosyphilis present with signs and symptoms of acute meningitis. Here we report two cases of syphilitic meningitis diagnosed in HIV patients with meningeal syndrome. The first case, a 30-year-old black bisexual male, had concurrent meningeal and ocular syphilis with persistent unusually low CSF glucose levels. He responded well to 21 days of intravenous penicillin therapy. The second case was a 55-year-old female with epilepsy, depression, behavioral disorder and confusion. The diagnosis of HIV infection was made after onset of the syphilitic meningitis. She was treated with 21 days i.v. penicillin with improvement in her clinical condition. The clinical aspects of combined neurosyphilis and HIV infection, plus special features of diagnosis and treatment are discussed
Disciplines: Medicina
Keyword: Diagnóstico,
Neurología,
Inmunología,
SIDA,
Meningitis,
Neurosífilis
Keyword: Medicine,
Diagnosis,
Neurology,
AIDS,
Meningitis,
Neurosyphilis,
Immunology
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