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This case demonstrates a rare manifestation of misdiagnosed early syphilis infection combined with acute HIV infection in a 34-year-old man with prior history of unprotected sex with men.<\/jats:p>","DOI":"10.1136\/bcr-2018-226509","type":"journal-article","created":{"date-parts":[[2019,2,22]],"date-time":"2019-02-22T05:40:00Z","timestamp":1550814000000},"page":"e226509","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Neurosyphilis presenting as cranial nerve palsy, an entity which is easy to miss"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1004-4560","authenticated-orcid":false,"given":"Yoav","family":"Piura","sequence":"first","affiliation":[{"name":"Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yair","family":"Mina","sequence":"additional","affiliation":[{"name":"Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orna","family":"Aizenstein","sequence":"additional","affiliation":[{"name":"Radiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avi","family":"Gadoth","sequence":"additional","affiliation":[{"name":"Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,2,21]]},"reference":[{"key":"2025082800340976000_12.2.e226509.1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.44.7.1198"},{"key":"2025082800340976000_12.2.e226509.2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2012\/458371","article-title":"Bilateral facial nerve palsy: a diagnostic dilemma","volume":"2012","author":"Pothiawala","year":"2012","journal-title":"Case Rep Emerg Med"},{"key":"2025082800340976000_12.2.e226509.3","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1017\/cem.2015.83","article-title":"Bilateral facial nerve palsy as the sole initial symptom of syphilis: a case report","volume":"17","author":"Ting","year":"2015","journal-title":"CJEM"},{"key":"2025082800340976000_12.2.e226509.4","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2006.47.5.745"},{"key":"2025082800340976000_12.2.e226509.5","unstructured":"Centers for Disease Control and Prevention. 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