Herpetic meningoencephalitis and neurosyphilis – a rare association

Background A sudden onset of symptoms that sums up confusion and memory loss, associated with the characteristic cerebral MRI changes: T2 hyperintensity in mediotemporal area, are usually highly evocative for herpetic meningoencephalitis. The medical literature data describe cases of patients with symptoms and MRI changes that are typical for this infectious pathology, but that proved to be in fact cases of neurosyphilis mimicking herpetic meningoencephalitis.