title: [Neurosyphilis in the patients with and without HIV infection: description and comparison of two historical cohorts].
abstract: Neurosyphilis follows a more aggressive and different clinical course in HIV-infected patients compared to patients with normal immunity. Two historical series of patients with a diagnosis of neurosyphilis between 1995 and 2008 were compared: they included a group of 15 patients with y and 28 patients without HIV infection. Probability of neurosyphilis in patients with positive serum VDRL was increased in patients infected with HIV compared to HIV negative patients (OR: 62.37 IC:95% (32.1-119.1) p value:< 0,001). Predominant clinical manifestations in neurosyphilis in the HIV negative group were ocular abnormality, vascular encephalic and spinal cord lesions. In the HIV positive group, they were fever, ocular abnormalities and headache. There were no differences in cerebrospinal fluid characteristics between both groups. Neurosyphilis was diagnosed even in patients with blood VDRL of < 1:32, that happened in 17.8% of the HIV positive patients with blood and in 60% of t he HIV negative patients. Penicillin sodium given at dose >or= than 18.000.000 IU/day IV during 14 days was the most common treatment. In patients with clinical neurosyphilis, 93% of HIV negative group, and 54.2% of HIV positive group had persistent neurological after-effects. Three HIV positive patients died due to causes not related to neurosyphilis.
authors.affiliation: Unidad de Infectología, Hospital Dr. Sotero Del Río, Santiago, Chile. zoalde@yahoo.com
authors.forename: Martín B
authors.initials: MB
authors.lastname: Lasso
authors.forename: M Elvira M
authors.initials: ME
authors.lastname: Balcells M
authors.forename: Ana S
authors.initials: AS
authors.lastname: Fernández
authors.forename: Pablo G
authors.initials: PG
authors.lastname: Gaete
authors.forename: Michel V
authors.initials: MV
authors.lastname: Serri
authors.forename: Jorge G
authors.initials: JG
authors.lastname: Pérez
authors.forename: Carolina A
authors.initials: CA
authors.lastname: Chain
authors.forename: Inés A
authors.initials: IA
authors.lastname: Cerón
authors.forename: Clara O
authors.initials: CO
authors.lastname: Duque
authors.forename: Anamaría B
authors.initials: AB
authors.lastname: Ramírez
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents; D015331:Cohort Studies; D005260:Female; D018023:HIV Seronegativity; D006801:Humans; D008297:Male; D008875:Middle Aged; D009494:Neurosyphilis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D010401:Penicillin G Benzathine / Q000627:therapeutic use; D012189:Retrospective Studies; D013588:Syphilis Serodiagnosis; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D010401:Penicillin G Benzathine