Case Report of HIV and Neurosyphilis Coinfection in a Recent Migrant: Old Diseases in New Faces

This case highlights the risk of coinfection with HIV and neurosyphilis in the Haitian migrant population and suggests possible benefit in routine screening for HIV and syphilis in the emergency department, particularly for at-risk populations. Neurosyphilis can be difficult to diagnose, requiring a high index of suspicion. Migrant patients can have difficulty accessing healthcare services, and the emergency department may have a role in screening and initiation of treatment in this population.