title: Syphilitic pneumonitis in an HIV-infected patient.
abstract: Pneumonitis and symptomatic hepatitis are very rare complications of syphilis. Symptomatic hepatitis and subclinical reticulonodular pulmonary infiltrates were observed when an HIV-infected patient presented with secondary syphilis. The Jarisch-Herxheimer reaction included a flare of hepatitis symptoms, resembling cholangitis. In a patient with syphilis, it may be appropriate to delay an aggressive evaluation for suspected pneumonitis or cholangitis pending the outcome of specific antitreponemal therapy.
authors.affiliation: Department of Medicine, Brooke Army Medical Center, Houston, Texas.
authors.forename: D P
authors.initials: DP
authors.lastname: Dooley
authors.forename: S
authors.initials: S
authors.lastname: Tomski
mesh_terms: D000328:Adult; D002761:Cholangitis / Q000150:complications / Q000382:microbiology; D015658:HIV Infections / Q000150:complications*; D006679:HIV Seropositivity; D006505:Hepatitis / Q000150:complications* / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D008297:Male; D011014:Pneumonia / Q000150:complications* / Q000382:microbiology* / Q000473:pathology; D013587:Syphilis / Q000150:complications* / Q000473:pathology