Lues maligna in an HIV-infected patient

Abstract

We report such a case of malignant syphilis in a

Syphilis Maligna (Lues Maligna): A Case Report

“…3,6 Benazthine penicillin G or aquous procaine penicillin G remains the drug of choice for all forms of syphilis. Oral tetracycline, or doxycycline 100 mgr orally twice, for 14 days are also effective for allergic to penicillin patiens with early syphilis.…”

“…1 Most of the cases, resulting from human immunodeficiency virus (HIV)-induced suppression of cell mediated immunity, have been reported in HIV positive patients [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] but some cases occur in individuals with poor health, alcoholic or immunocompetent patients.…”

Genital Ulcer SiGnalinG recent SyphiliS in an hiV infected patient: the diaGnoSiS challenGe

“…In another appointment with a dermatologist, after anamnesis the patient stated that he did not have an exclusive steady partner, he had a sporadic use of condoms and his last sexual intercourse had occurred 20 days before the onset of the lesion. His CD4 (CD4 lymphocytes) count was 250 mm 3 and HIV viral load 90,000 copies/ mm 3 of and he was under use of Highly Active Antiretroviral Therapy (tenofovir, lamivudine and efavirenz).…”

“…Even without making use of penicillin and azithromycin, he performed control of cure with no treponemal serology quantitative test for 3 in 3 months during the first year and then was discharged (3) .…”

Die ungewöhnlichen Gesichter der Syphilis

“…Die Extremvariante "Lues maligna" der Syphilis im Stadium II wurde erstmals von Bazin 1859 beschrieben [15] und 1882 im Lehrbuch über die Syphilis von M. Kaposi dazu eine chromlithographierte Tafel abgebildet [7]. Die Lues maligna zeigt schorfignekrotische, oft wie ausgestanzt wirkende Ulzera mit rupiaartigen Krusten [5,12].…”