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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

versión On-line ISSN 2312-3893

Resumen

ACOSTA COLMAN, Karina Raquel  y  VALDEZ MARTINEZ, Valeria Rosalba. Uncommon coinfection: cerebral toxoplasmosis and neurosyphilis in an immunocompromised individual. Rev. virtual Soc. Parag. Med. Int. [online]. 2025, vol.12, n.1, e12142514.  Epub 21-Jul-2025. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2025.e12142514.

We present the case of a young adult patient diagnosed with HIV in 2017 who had not received treatment or medical follow-up. He was admitted to the emergency department due to tonic-clonic seizures. A series of laboratory and imaging studies were performed, and magnetic resonance imaging revealed lesions suggestive of cerebral toxoplasmosis. A lumbar puncture was performed, which yielded a reactive VDRL test result. During his hospital stay, he received specific treatment and was discharged in improved condition with follow-up by the infectious disease service.

Palabras clave : cerebral toxoplasmosis; neurosyphilis; seizures; dysarthria.

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