Malignant syphilis as the first manifestation of HIV infection

  • Efstathios Rallis | efrall@otenet.gr Department of Dermatology, Veterans Administration Hospital (NIMTS), Athens, Greece.
  • Vasileios Paparizos Sexually Transmitted Infections Unit, A. Sygros Hospital, Athens, Greece.

Abstract

Malignant syphilis is a rare and severe variant of secondary syphilis. It is clinically characterized by large papular, nodular and ulcerative lesions affecting the trunk and the extremities and covered with thick crust. We present a case of 52-year-old homosexual male who developed malignant syphilis and this was the first clinical manifestation of HIV infection. The patient was treated successfully with intravenous aqueous crystalline penicillin G. Physicians should recognize malignant syphilis and considered it in all HIV-infected individuals with ulceronodular skin lesions.

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Published
2012-02-23
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Keywords:
HIV, malignant syphilis
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How to Cite
Rallis, E., & Paparizos, V. (2012). Malignant syphilis as the first manifestation of HIV infection. Infectious Disease Reports, 4(1), e15. https://doi.org/10.4081/idr.2012.e15