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Indications for Performing a Lumbar Puncture in a Patient with Both Syphilis and HIV

Purpose:

To identify an HIV-positive patient with syphilis who should have a lumbar puncture (LP) to look for evidence of neurosyphilis.

Specialty:

Infectious Diseases

Objective:

options, selection

ICD-10:

A53.9, B20.1

Description:

An HIV-positive patient with syphilis is at increased risk of developing neurosyphilis, which may be asymptomatic. Ghanem et al listed criteria for when to perform a lumbar puncture (LP) in order to diagnose neurosyphilis in these patients.

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