A Case of Human Immunodeficiency Virus Seroconversion State with Neurosyphilis Presenting Aseptic Meningitis
Seung Ju Kim, MD, Jaehoon Joung, MD, Hyung Geun Oh, MD, Kwang Ik Yang, MD, Hyung Kook Park, MD and Dushin Jeong, MD, MPH
Department of Neurology, Soonchunhyang University College of Medicine, Cheonan, Korea
ABSTRACT
Background: Aseptic meningitis should be suspected in the patient with fever, headache, and meningismus. But the diagnosis of aseptic meningitis must rule out the bacterial infection or other causes and confirming enteroviral evidence of infection. Both the syphilis and the acute human immunodeficiency virus seroconversion illness are difficult to highly sensitive confirm the diagnosis because of their nonspecific manifestations. Case Report: We describe a 40-year old man presented for 30 days of fatigue, fever, sore throat, cough, vomiting, diarrhea, and headache. He had neck stiffness with 38.6°C of body temperature. His serologic studies showed the results of diagnosis for neurosyphilis and from suspicious to confirm the human immunodeficiency virus infection and progressing illness state. Conclusions:We report an aseptic meningitis patient with combined neurosyphilis and acute immune deficiency virus seroconversion to acquired immunodeficiency syndrome to Korea National Institute of Health and Korea Centers for Disease Control & Prevention.
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