Evidence map›Paper›PMID 34163553›Full record

ArticleThe Neurohospitalist2021

An Atypical Case of Neurosyphilis in a Patient With HIV: A Case Report.

Elizabeth Chernyak, Hang Shi, Deborah A Theodore, Kiran T Thakur

Abstract readCase Reports
In one paragraph

Article in The Neurohospitalist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Elizabeth ChernyakDepartment of Neurology, Maimonides Medical Center, Brooklyn, NY, USA.ORCID https://orcid.org/0000-0001-8117-3410
Hang ShiDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.ORCID https://orcid.org/0000-0003-2330-7438
Deborah A TheodoreDivision of Infectious Diseases, Department of Medicine, Columbia University Medical Center, New York, NY, USA.
Kiran T ThakurDepartment of Neurology, Columbia University Medical Center, New York, NY, USA.ORCID https://orcid.org/0000-0003-0050-0323

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidemiological trends have demonstrated re-emergence of neurosyphilis in the twenty-first century. As prevalence rises in clinical practice, neurosyphilis must be considered in the differential diagnosis even if initial diagnostic workup is unrevealing, especially in patients with human immunodeficiency virus (HIV). Co-infection of neurosyphilis and HIV can result in atypical presentations. In this report, we discuss a challenging diagnosis of neurosyphilis in a man with HIV who presented with atypical imaging findings and initially negative cerebrospinal fluid (CSF) nontreponemal testing. Our patient underwent repeated CSF evaluation and a comprehensive diagnostic workup, including brain biopsy, to arrive at the appropriate diagnosis. He received antibiotic treatment with excellent outcome. We review typical imaging features of neurosyphilis and highlight other neurological diseases that may mimic these radiographic findings. We discuss CSF testing and interpretation in this high-risk patient population.

Indexed as

central nervous system infectionsheadacheHIVneurosyphilis

Identifiers

PMID34163553
PMCPMC8182402

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.