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Medicas UIS
versión impresa ISSN 0121-0319versión On-line ISSN 1794-5240
Resumen
OCAMPO-CHAPARRO, José Mauricio; RIOS-QUINTERO, César Augusto; ALVAREZ-PAYARES, Jorge Eliecer y MUNOZ-LOMBO, Jenny Patricia. Meningovascular neurosyphilis as a cause of stroke in a young patient: case report. Medicas UIS [online]. 2019, vol.32, n.2, pp.53-58. Epub 30-Ago-2019. ISSN 0121-0319. https://doi.org/10.18273/revmed.v32n2-2019007.
Stroke in young adults is a rare event present in less than 5% of cases worldwide, representing a diagnostic challenge due to the multiple possible etiologies, including infections. 15% to 40% of patients with untreated syphilis may develop tertiary syphilis; with mainly neurodestructive manifestations, described in late syphilis, but in its early stage with chronic meningitis and meningovascular stroke. The case of a 40-year-old male patient with a history of behavior changes, auditory hallucinations and insomnia is presented, who consults the emergency department for presenting right hemiplegia, motor aphasia, palmoplantar lesions and rosette in glans associated with inguinal adenopathies. Given the imaging and cerebrospinal fluid findings, a diagnosis of ischemic stroke of the left anterior cerebral circulation was established, secondary to meningovascular neurosyphilis, with confirmation of immunosuppression due to human immunodeficiency virus. MÉD.UIS.2019;32(2):53-8
Palabras clave : Treponema pallidum; Neurosyphilis; Stroke; Cerebrospinal fluid; Acquired Immunodeficiency syndrome; Penicillin.