title: Syphilis? An Unusual Cause of Surgical Emergency in a Human Immunodeficiency Virus-Infected Man.
abstract: We report on a human immunodeficiency virus-infected man undergoing urgent anorectal surgery, with multi-centimeter fungating masses discovered inside the anus. Initial pathology was inconclusive. After the patient developed a disseminated rash postoperatively determined to be secondary syphilis, the anorectal pathology was reviewed and Treponema pallidum DNA was amplified by polymerase chain reaction from the mass.
authors.affiliation: Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington ; Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Division of Allergy and Infectious Diseases.
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Bender Ignacio
authors.affiliation: Department of Pathology.
authors.forename: Lisa L
authors.initials: LL
authors.lastname: Koch
authors.affiliation: Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington.
authors.forename: Shireesha
authors.initials: S
authors.lastname: Dhanireddy
authors.affiliation: Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington.
authors.forename: B
authors.initials: B
authors.lastname: Charmie Godornes
authors.affiliation: Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington ; Department of Global Health, University of Washington, Seattle.
authors.forename: Sheila A
authors.initials: SA
authors.lastname: Lukehart
authors.affiliation: Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington.
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Marrazzo
keywords: HIV; Treponema pallidum; men who have sex with men; proctitis; syphilis