Fever, Hemiparesis and Hyponatraemia in a 63-year-old. HIV, another Great Masquerader?

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Why is it important?

• Early detection and treatment of Acquired Immunodeficiency Syndrome (AIDS) is important in the prevention of associated neurological sequelae. • Human Immunodeficiency Virus (HIV) testing should be considered in cases of unexplained fever and lethargy even in the absence of risk factors for transmissible diseases. • AIDS may present as unexplained hyponatraemia due to the syndrome of inappropriate antidiuretic hormone secretion (SIADH)