Early syphilis mimicking tuberculous meningoencephalitis in an HIV-positive patient

Int J STD AIDS. 2010 Mar;21(3):209-10. doi: 10.1258/ijsa.2009.008516. Epub 2010 Jan 13.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Antitubercular Agents / therapeutic use
  • Cefotaxime / therapeutic use
  • Diagnosis, Differential
  • Early Diagnosis
  • HIV Seropositivity / complications*
  • Humans
  • Male
  • Meningoencephalitis / complications
  • Meningoencephalitis / diagnosis*
  • Meningoencephalitis / drug therapy
  • Middle Aged
  • Neurosyphilis / diagnosis*
  • Neurosyphilis / drug therapy
  • Treponema pallidum / isolation & purification
  • Tuberculosis, Meningeal / complications
  • Tuberculosis, Meningeal / diagnosis*
  • Tuberculosis, Meningeal / drug therapy

Substances

  • Anti-Bacterial Agents
  • Antitubercular Agents
  • Cefotaxime