title: Polyostotic osteitis in secondary syphilis in an HIV-infected patient.
abstract: We herein describe a case of secondary syphilis in a patient with HIV infection that presented with an unusually diffuse polyostotic osteitis with skull involvement. Syphilis has to be added to the differential diagnosis of extensive inflammatory bone pain in patients at risk, especially if pain worsens at night.
authors.affiliation: Unidad de Enfermedades Infecciosas, Hospital General Universitario de Alicante, Alicante, Spain. boix_vic@gva.es
authors.forename: Vicente
authors.initials: V
authors.lastname: Boix
authors.forename: Esperanza
authors.initials: E
authors.lastname: Merino
authors.forename: Sergio
authors.initials: S
authors.lastname: Reus
authors.forename: Diego
authors.initials: D
authors.lastname: Torrus
authors.forename: Joaquín
authors.initials: J
authors.lastname: Portilla
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D017963:Azithromycin / Q000627:therapeutic use; D004318:Doxycycline / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010000:Osteitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D011859:Radiography; D012886:Skull / Q000000981:diagnostic imaging* / Q000473:pathology; D013262:Stevens-Johnson Syndrome / Q000473:pathology; D013587:Syphilis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D016896:Treatment Outcome; D047090:beta-Lactams / Q000276:immunology
chemical_list: D000900:Anti-Bacterial Agents; D047090:beta-Lactams; D017963:Azithromycin; D004318:Doxycycline