Early syphilis mimicking tuberculous meningoencephalitis in an HIV-positive patient.
A man previously treated for tuberculous arthritis presented with acute meningoencephalitis. Cerebrospinal fluid tests suggested infection with Mycobacterium tuberculosis, but a diagnosis of early neurosyphilis was subsequently made.
Farazmand
P
P
Department of Genitourinary Medicine, North Manchester General Hospital, Delaunays Road, Crumpsall, Manchester M85RB, UK. pfarazmand@googlemail.com
Alvarez-Uria
G
G
Higgins
S P
SP
Vilar
J F
JF
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D002439:Cefotaxime / Q000627:therapeutic use; D003937:Diagnosis, Differential; D042241:Early Diagnosis; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D008297:Male; D008590:Meningoencephalitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D009494:Neurosyphilis / Q000175:diagnosis* / Q000188:drug therapy; D014210:Treponema pallidum / Q000302:isolation & purification; D014390:Tuberculosis, Meningeal / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents; D002439:Cefotaxime