Ischemic stroke as an initial presentation of neurosyphilis in a newly diagnosed HIV patient: A case report and literature review

Moaz O Moursi; Wael Hamam; Adnan Hajjar; Mohammad Es-Salim; Soha Aboukhalaf; Omar Jamil; Muhammad Zahid

doi:10.1002/ccr3.8794

Ischemic stroke as an initial presentation of neurosyphilis in a newly diagnosed HIV patient: A case report and literature review

Clin Case Rep. 2024 May 10;12(5):e8794. doi: 10.1002/ccr3.8794. eCollection 2024 May.

Authors

Moaz O Moursi^{1

2}, Wael Hamam¹, Adnan Hajjar¹, Mohammad Es-Salim¹, Soha Aboukhalaf^{1

2}, Omar Jamil^{2

3}, Muhammad Zahid^{1

2

4}

Affiliations

¹ Department of Internal Medicine Hamad General Hospital Doha Qatar.
² College of Medicine, QU Health Qatar University Doha Qatar.
³ Department of Radiology Hamad General Hospital Doha Qatar.
⁴ Weill Cornell Medical College Doha Qatar.

Abstract

With syphilis resurgence, physicians should be more vigilant to infection-induced cerebral vasculitis in high-risk patients presenting with neurological symptoms. In this case, neurosyphilis should not be missed. Thorough serologic screening and lumbar puncture are crucial for diagnosis, and further research is needed for safe and effective treatments in these populations.

Keywords: HIV; case report; ischemic stroke; neurosyphilis; syphilis.

Publication types

Case Reports