A case of acute HIV infection that merged with syphilis causing viral meningitis – Examination and treatment progress in the outpatient clinic of general medicine – *
This report examines a case of an acute human immunodeficiency virus (HIV) infection that merged with syphilis and caused viral meningitis. A 20 years old level homosexual patient with a high fever, a headache, a sore throat, and a cough was diagnosed with viral meningitis 2 weeks after initial ambulatory treatment. An aphtha in the oral cavity and eruptions were also present in the patient, but the condition was considered viral upper respiratory tract inflammation, and the treatment performed was mainly symptom oriented. Viral meningitis was diagnosed through an examination of the cerebrospinal fluid and the patient was hospitalized. It later became clear that the patient's acute HIV infection that had merged with syphilis was the caused of the viral meningitis. Because we made the patient have a checkup at short notice, a diagnosis was possible with in two weeks. However, it is thought that if we had more knowledge on acute HIV infections and syphilis, we may have been able to make a diagnosis earlier. Therefore, in the outpatient clinic of General Medicine, knowledge about many disorders is critical. (Accepted on December 16, 2010)
