[Malignant syphilis in human immunodeficiency virus infection].
BACKGROUND
The associated infection with Treponema pallidum and human immunodeficiency virus (HIV) was responsible for the return of malignant syphilis.


METHODS
We report a case of malignant syphilis which revealed a HIV seropositivity. The lesions were typical. Serological features were in accordance with the diagnosis. A treatment with penicillin was prescribed and there was no relapse after five years.


CONCLUSIONS
The diagnosis of malignant syphilis in a HIV positive patient may be difficult. The course of the disease may be serious and a prolonged treatment with high doses of penicillin is often necessary. The occurrence of the malignant syphilis in HIV positive patients is not fortuitous and seems to be related to an abnormal immunity.
Misery
L
L
Clinique Dermatologique, Hôpital Edouard Herriot, Lyon, France.
Besnard
V
V
Badel
R
R
Marneffe-Delalande
E
E
Faure
M
M
Thivolet
J
J
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000473:pathology*; D000328:Adult; D005148:Facial Dermatoses / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D010400:Penicillin G / Q000627:therapeutic use; D013591:Syphilis, Cutaneous / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D016896:Treatment Outcome
D010400:Penicillin G
Syphilis maligne au cours de l'infection par le virus de l'immunodéficience humaine.