AI Article Synopsis
- HIV and syphilis often occur together because they affect similar groups of people, leading to unique complications.
- In an HIV-positive patient, secondary syphilis presented with unusual symptoms like skin issues and urethritis, resembling Reiter's syndrome.
- Treatment with crystalline penicillin resulted in complete resolution of both skin and neurological symptoms with no lasting effects.
Article Abstract
HIV/syphilis co-infection is common because both conditions affect similar risk groups. HIV interferes with the natural history of syphilis, which often has atypical clinical features and nervous system involvement in the early stage of disease. We report the case of an HIV-positive patient with secondary syphilis, scaling palmoplantar keratoderma, scrotal eczema, balanitis and urethritis mimicking Reiter's syndrome. Immunohistochemistry using polyclonal antibodies against Treponema pallidum revealed the presence of spirochetes, associated with the paretic form of parenchymal neurosyphilis. The patient was given crystalline penicillin, with complete resolution of dermatological and neurological symptoms, and no sequelae.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540554 | PMC |
| http://dx.doi.org/10.1590/abd1806-4841.20153625 | DOI Listing |
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