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Age and Ageing Advance Access originally published online on March 8, 2004
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Age and Ageing 2004; 33: 315-316
Age and Ageing Vol. 33 No. 3 © British Geriatrics Society 2004; all rights reserved

Case Report

Lesson of the week: a new cause of treatable dementia

Mirella Jane Parsonage1, Elizabeth Hart1, Edmund G. L. Wilkins1 and Paul Richard Talbot2

1 Department of Infectious Diseases, North Manchester General Hospital, Delaunays Road, Crumpsall, Manchester M8 5RB, UK
2 Stepping Hill Hospital, Lyme House, Poplar Grove, Hazel Grove, Stockport, UK

Address correspondence to: M. J. Parsonage. Fax: (+44) 161 720 2139. Email: mparsonage{at}btopenworld.com

Case report: a 69-year-old married British man presented with 4 months of falls and confusion. HIV antibody test, performed after exclusion of other diagnoses, was positive. Institution of triple antiretroviral therapy resulted in an almost complete recovery.

Discussion: HIV infection is now far more common than syphilis. It may be highly amenable to treatment and needs to be considered in the differential diagnosis of the older person with dementia.

Keywords: HIV-infections, AIDS–dementia complex, dementia, treatment

Received October 19, 2003; accepted in revised form November 8, 2003.


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