Basilar artery occlusion in a young man related to coinfection of neurosyphilis and human immunodeficiency virus

Poh Shiow Yeh, Nan Cheng Chen, Tai Yuan Chen, Wen Liang Yu, Hung Jen Tang

Research output: Contribution to journalArticle

Abstract

The meningovascular complication of syphilis and human immunodeficiency virus (HIV) infection is not uncommon. A young man with no atherosclerotic and cardiac risk factors presented with acute brainstem infarct resulting from basilar artery occlusion. His condition deteriorated rapidly despite aggressive antithrombotic therapies. Brain imaging revealed old lacunes in addition to the current brainstem ischemic lesions. The patient was diagnosed to have neurosyphilis and human immunodeficiency virus infection after work-ups. The patient began a gradual neurological improvement after antibiotic treatment and combination antiretroviral therapy. Ischemic stroke can be the first clinical presentation in syphilis and HIV-infected persons. Earlier diagnosis and treatment of the causative infectious disease is important and can provide a better stroke outcome.

Original languageEnglish
Pages (from-to)227-231
Number of pages5
JournalJournal of Internal Medicine of Taiwan
Volume26
Issue number4
Publication statusPublished - Aug 1 2015
Externally publishedYes

Fingerprint

Neurosyphilis
Basilar Artery
Coinfection
HIV
Virus Diseases
Syphilis
Brain Stem
Stroke
Therapeutics
Neuroimaging
Communicable Diseases
Early Diagnosis
Anti-Bacterial Agents

Keywords

  • Basilar artery occlusion
  • Human immunodeficiency virus infection
  • Neurosyphilis

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Basilar artery occlusion in a young man related to coinfection of neurosyphilis and human immunodeficiency virus. / Yeh, Poh Shiow; Chen, Nan Cheng; Chen, Tai Yuan; Yu, Wen Liang; Tang, Hung Jen.

In: Journal of Internal Medicine of Taiwan, Vol. 26, No. 4, 01.08.2015, p. 227-231.

Research output: Contribution to journalArticle

Yeh, Poh Shiow ; Chen, Nan Cheng ; Chen, Tai Yuan ; Yu, Wen Liang ; Tang, Hung Jen. / Basilar artery occlusion in a young man related to coinfection of neurosyphilis and human immunodeficiency virus. In: Journal of Internal Medicine of Taiwan. 2015 ; Vol. 26, No. 4. pp. 227-231.
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