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Neurosyphilis And Hiv

Here's a taste of what has to offer on this topic:
U.S. Centers for Disease Control and Prevention

Symptomatic Early Neurosyphilis Among HIV-Positive Men Who Have Sex With Men -- Four Cities, United States, January 2002 - June 2004

Symptomatic early neurosyphilis is a rare manifestation of syphilis that usually occurs within the first 12 months of infection. 1 Most neurologic symptoms of early neurosyphilis result from acute or subacute meningitis, abnormalities in cranial... Read more »
U.S. Centers for Disease Control and Prevention

Serum RPR Testing Predicts Success of Neurosyphilis Treatment

New research finds that measuring the serum level of rapid plasma reagin (RPR) can generally predict the success of treatment for neurosyphilis, thereby avoiding lumbar puncture for confirmatory cerebrospinal fluid (CSF) testing. Successful... Read more »
U.S. Centers for Disease Control and Prevention

A Consequence of the Syphilis Epidemic Among Men Who Have Sex With Men (MSM): Neurosyphilis in Los Angeles, 2001-2004

The authors undertook the current study to examine the epidemiology and clinical findings of neurosyphilis (NS) cases diagnosed during the current syphilis epidemic occurring primarily among MSM. Syphilis cases that were reported to the health... Read more »
Ask the Experts

Can one get neurosyphilis 4 months after acquiring it?

HIV positive, recently tested for syphilis and I was told my number was 256. I don't know what that means. Do I need to get a lumber puncture? Does treatment for nuerosyphilis require hospitalization or can it be done at home or an outpatient...
Richard Cordova III

Response from Richard Cordova III

Test Positive Aware Network
Hi there:Treatment for neurosyphilis usually includes multiple shots of penicillin. I am not sure what course of treatment your doctor would prescribe. Neurosyphilis only takes place when an infection has gone untreated for many many years. In... Read more »

Neurosyphilis possible?

Dear Dr. Young,I was diagnosed with HIV in 2005. I tested negative for everything else including syphilis. I started ATRIPLA with a CD4 count of 503(25%). My counts today are 933 CD4 (52%). But I tested positive for Syphilis yesterday. The VDRL...
Benjamin Young, M.D., Ph.D.

Response from Benjamin Young, M.D., Ph.D.

Rocky Mountain CARES
Hello and thanks for posting.Sounds like your HIV treatment is going well. According to the recently updated <a href=""... Read more »


Poz 10 years tcells 699 vl under 50 having myriad of symptoms my question is it possible being hiv poz to skip early stages of syphilis and go directly to neurosyphilis? ...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hello,Syphilis can be more severe in HIVers. It can also progress more quickly if it's not treated appropriately. And it's more likely to infect the nervous system. Blood tests used to monitor the response to syphilis treatment can... Read more »


hiv positive 9 years been having stiff neck head aches dizzynes back pain given lp i believe was checked for everything but syphilis told sinus infection given avelox 14 day course 9 day symptoms getting worse went back made them give me syphilis...
Benjamin Young, M.D., Ph.D.

Response from Benjamin Young, M.D., Ph.D.

Rocky Mountain CARES
Hello,Unless you were very recently infected with syphilis, your antibody test for syphilis is sufficient to rule out neurosyphilis. If in doubt, long before doing a spinal tap for neurosyphilis, I'd simply repeat the blood based, RPR or VDRL... Read more »
Connect With Others


Posted by Ophites, 2 Replies
Hello to all!
I recently replied to a post in another forum, but I thought I would officially introduce myself as new to the forum. Although I am a newbie here, I have been living with HIV for quite a while now so I thought this might be the place... Read more »

when some things arent a problem

Posted by alive2, 3 Replies
since comming here in 04, i have just realized how insignificant a broken bone and say broken cartilage really are in the terms of how it affects me now.
my son (8) and i were wrestling because wrestlemannia was comming on, so i did a few body slams... Read more »