Syphilis and HIV co-infection presenting with a pituitary abscess: A rare case presentation

Syphilis is a common sexually transmitted disease that increases the risk of co-infection with other sexually transmitted diseases, including HIV. Early diagnosis and treatment, especially for those localized to a rural environment, is paramount. Pituitary abscess is a rare pathology with less than 500 cases described to-date. We present a case of a newly diagnosed syphilis and HIV co-infection with an incidentally discovered pituitary abscess in a rural setting, highlighting the importance of early detection and management in this population, as well as the role of radiographic imaging to diagnose this rare pathology.