Malignant syphilis and hidden diagnosis of HIV infection

Authors

  • Manuel Sánchez-Robledo Internal Medicine Service, Hospital Universitario del Henares, Madrid, Spain https://orcid.org/0009-0003-7344-725X
  • Nahum Jacobo Torres-Yebes Internal Medicine Service, Hospital Universitario del Henares, Madrid, Spain
  • Erika Esperanza Lozano-Rincón Internal Medicine Service, Hospital Universitario del Henares, Madrid, Spain https://orcid.org/0009-0008-6549-0473
  • José Ángel Pestaña-Santiago Internal Medicine Service, Hospital Universitario del Henares, Madrid, Spain https://orcid.org/0009-0005-1600-8378
  • Luis Cabeza-Osorio Internal Medicine Service, Hospital Universitario del Henares, Madrid, Spain https://orcid.org/0000-0002-9963-4323

DOI:

https://doi.org/10.32818/reccmi.a8n3a6

Keywords:

malignant syphilis, HIV, RPR, treponema pallidum

Abstract

Malignant syphilis is considered to be an atypical manifestation of secondary syphilis. It is characterised by a predominance of nodular-ulcerative lesions, with a higher incidence in patients with human immunodeficiency virus (HIV) infection. The diagnosis is clinical, based on serological and histopathological results. We present the case of a 51-year-old patient with malignant syphilis skin lesions and unknown HIV infection, with a favorable clinical response after starting parenteral antibiotic treatment and adequate viral load control with antiretrovirals.

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Published

2023-12-31

How to Cite

1.
Sánchez-Robledo M, Torres-Yebes NJ, Lozano-Rincón EE, Pestaña-Santiago J Ángel, Cabeza-Osorio L. Malignant syphilis and hidden diagnosis of HIV infection. Rev Esp Casos Clin Med Intern [Internet]. 2023 Dec. 31 [cited 2024 Nov. 23];8(3):126-8. Available from: https://www.reccmi.com/RECCMI/article/view/914