[Neurosyphilis and human immunodeficiency virus (HIV-1)infection. Experience with 6 cases].
HIV infected population has a higher incidence of syphilis, being this an independent risk factor for HIV infection. We report 88 HIV infected patients seen during the last three years. Fourteen (16%) had reactive serum VDRL and FTA-ABS and neurosyphilis was diagnosed in six (6.8%). Three had a treponemal uveitis-retinitis, one a meningovascular syphilis and one a secondary syphilis with meningeal and otological involvement. Patients were treated with penicillin 20 million UI/day for 14 days with good clinical and laboratory response and CSF normalization in those subjected to a second lumbar puncture. It is concluded that neurosyphilis must be considered in the differential diagnosis of neurological complications of HIV infections.
Silva
C
C
Departamento de Neurología-Neurocirugía, Facultad de Medicina, Universidad de Chile, Hospital José Joaquín Aguirre, Santiago.
Agar
A M
AM
Guzmán
M A
MA
Thompson
L
L
Sepúlveda
C
C
D000163:Acquired Immunodeficiency Syndrome / Q000134:cerebrospinal fluid / Q000150:complications*; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009494:Neurosyphilis / Q000134:cerebrospinal fluid / Q000150:complications* / Q000175:diagnosis; D012307:Risk Factors; D013588:Syphilis Serodiagnosis
Neurosífilis e infección por el virus de inmunodeficiencia humana (VIH-1). Experiencia en 6 casos.