Lues maligna in an HIV-infected patient.
We report such a case of malignant syphilis in a 42-year-old HIV-infected man, co-infected with hepatitis B virus, who presented neurolues and the classical skin lesions of lues maligna. The serum VDRL titer, which was 1:64 at presentation, increased to 1:2,048 three months after successful therapy with penicillin, decreasing 15 months later to 1:8.
Passoni
Luiz Fernando Cabral
LF
Serviço de Doenças Infecciosas e Parasitárias, Hospital dos Servidores do Estado, Rio de Janeiro, RJ, Brasil. lfpassoni@ig.com.br
de Menezes
Jacqueline Anita
JA
Ribeiro
Sayonara Rocha
SR
Sampaio
Erica Coutinho O
EC
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D002308:Cardiolipins / Q000032:analysis*; D002784:Cholesterol / Q000032:analysis*; D006801:Humans; D008297:Male; D010406:Penicillins / Q000627:therapeutic use; D010713:Phosphatidylcholines / Q000032:analysis*; D013591:Syphilis, Cutaneous / Q000175:diagnosis* / Q000188:drug therapy
D002308:Cardiolipins; D010406:Penicillins; D010713:Phosphatidylcholines; C054448:VDRL antigen; D002784:Cholesterol