Malignant syphilis in an AIDS patient.
Malignant syphilis is an uncommon, but not unknown, ulcerative variation of secondary syphilis. The lesions typically begin as papules, which quickly evolve to pustules and then to ulcers with elevated edges and central necrosis. It is usually, but not mandatory, found in patients with some level of...
| Publicado en: | Infection Vol. 43; no. 2; pp. 231 - 237 |
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| Autores principales: | , , , , , , , |
| Formato: | case study pictorial tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103781937&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103781937 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03008126 NXO jtl: Infection issn: 03008126 maglogo: N pubinfo: dt: Apr2015 vid: 43 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 103781937 101853963 10.1007/s15010-014-0698-x NLM25408098 103781937 ppf: 231 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Malignant syphilis in an AIDS patient. aug: au: Santos, T. Castro, I. Dahia, M. Azevedo, M. Silva, G. Motta, R. Cunha Pinto, J. Almeida Ferry, F. affil: Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Rio De Janeiro Brazil sug: subj: HIV-Positive Persons Syphilis Classification Syphilis Symptoms Skin Diseases Diagnosis, Differential Adult Male Adult: 19-44 years Male ab: Malignant syphilis is an uncommon, but not unknown, ulcerative variation of secondary syphilis. The lesions typically begin as papules, which quickly evolve to pustules and then to ulcers with elevated edges and central necrosis. It is usually, but not mandatory, found in patients with some level of immunosuppression, such as HIV patients, when the TCD4 cell count is >200 cells/mm. Despite the anxiety the lesions cause, this form of the disease has a good prognosis. The general symptoms disappear right after the beginning of treatment, and lesions disappear over a variable period. This study reports the case of a 27-year-old man who has been HIV positive for 6 years, uses antiretroviral therapy incorrectly, has a TCD4 cell count of 340 cells/mm, a VDRL of 1:128 and itchy disseminated hyperchromic maculopapular lesions with rupioid crusts compatible with malignant syphilis. pubtype: Academic Journal doctype: case study pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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