Double Morphology: Tertiary Syphilis and Acquired Immunodeficiency Syndrome—A Rare Association

Joint Authors

Ngwanya, R. M.
Kakande, B.
Khumalo, N. P.

Source

Case Reports in Dermatological Medicine

Issue

Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2017-10-31

Country of Publication

Egypt

No. of Pages

3

Main Subjects

Diseases

Abstract EN

Background.

Human immunodeficiency virus (HIV) and Treponema pallidum coinfection is relatively common and accounts for about 25% of primary and secondary syphilis.

Tertiary syphilis in HIV-uninfected and HIV-infected patients is vanishingly rare.

This is most likely due to early treatment of cases of primary and secondary syphilis.

There is rapid progression to tertiary syphilis in HIV-infected patients.

Case Presentation.

A 49-year-old woman diagnosed with HIV Type 1 infection and cluster of differentiation 4 (CD4) count of 482 presented with a four-week history of multiple crusted plaques, nodules, and ulcers on her face, arms, and abdomen.

Her past history revealed red painful eyes six months prior to this presentation.

She had generalized lymphadenopathy, no alopecia, and no palmar-plantar or mucosal lesions.

There were no features suggestive of secondary syphilis.

Neurological examination was normal.

Her rapid plasma reagin test was positive to a titer of 64.

She was treated with Penicillin G 20 mu IVI daily for 2 weeks.

Conclusion.

Penicillin remains the treatment of choice in syphilitic infected HIV negative and HIV-infected individuals.

In neurosyphilis, the dose of Penicillin GIVI is 18–24 mu daily for 10–14 days.

This case report demonstrates the importance of excluding syphilis in any HIV-infected patient.

American Psychological Association (APA)

Ngwanya, R. M.& Kakande, B.& Khumalo, N. P.. 2017. Double Morphology: Tertiary Syphilis and Acquired Immunodeficiency Syndrome—A Rare Association. Case Reports in Dermatological Medicine،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144974

Modern Language Association (MLA)

Ngwanya, R. M.…[et al.]. Double Morphology: Tertiary Syphilis and Acquired Immunodeficiency Syndrome—A Rare Association. Case Reports in Dermatological Medicine No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1144974

American Medical Association (AMA)

Ngwanya, R. M.& Kakande, B.& Khumalo, N. P.. Double Morphology: Tertiary Syphilis and Acquired Immunodeficiency Syndrome—A Rare Association. Case Reports in Dermatological Medicine. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144974

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1144974