Syphilis associated with paretic neurosyphilis mimicking Reiter’s syndrome in HIV-infected patients
Abstract HIV/syphilis co-infection is common because both conditions affect similar risk groups. HIV interferes with the natural history of syphilis, which often has atypical clinical features and nervous system involvement in the early stage of disease. We report the case of an HIV-positive patient with secondary syphilis, scaling palmoplantar keratoderma, scrotal eczema, balanitis and urethritis mimicking Reiter’s syndrome. Immunohistochemistry using polyclonal antibodies against Treponema pallidum revealed the presence of spirochetes, associated with the paretic form of parenchymal neurosyphilis. The patient was given crystalline penicillin, with complete resolution of dermatological and neurological symptoms, and no sequelae.
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Sociedade Brasileira de Dermatologia
2015
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oai:scielo:S0365-059620150007002122015-11-19Syphilis associated with paretic neurosyphilis mimicking Reiter’s syndrome in HIV-infected patientsBastos,Thales CostaMaia,Daniela Cristina CaetanoGomes,Nathália MatosMenezes,Carla Kellen da SilvaFrancesconi,ValeskaFrancesconi,Fabio Antibody-coated bacteria test, urinary HIV Nervous system diseases Neurosyphilis Syphilis Skin diseases, eczematous Treponema pallidum Abstract HIV/syphilis co-infection is common because both conditions affect similar risk groups. HIV interferes with the natural history of syphilis, which often has atypical clinical features and nervous system involvement in the early stage of disease. We report the case of an HIV-positive patient with secondary syphilis, scaling palmoplantar keratoderma, scrotal eczema, balanitis and urethritis mimicking Reiter’s syndrome. Immunohistochemistry using polyclonal antibodies against Treponema pallidum revealed the presence of spirochetes, associated with the paretic form of parenchymal neurosyphilis. The patient was given crystalline penicillin, with complete resolution of dermatological and neurological symptoms, and no sequelae.info:eu-repo/semantics/openAccessSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia v.90 n.3 suppl.1 20152015-06-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000700212en10.1590/abd1806-4841.20153625 |
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Bastos,Thales Costa Maia,Daniela Cristina Caetano Gomes,Nathália Matos Menezes,Carla Kellen da Silva Francesconi,Valeska Francesconi,Fabio |
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Bastos,Thales Costa Maia,Daniela Cristina Caetano Gomes,Nathália Matos Menezes,Carla Kellen da Silva Francesconi,Valeska Francesconi,Fabio Syphilis associated with paretic neurosyphilis mimicking Reiter’s syndrome in HIV-infected patients |
| author_facet |
Bastos,Thales Costa Maia,Daniela Cristina Caetano Gomes,Nathália Matos Menezes,Carla Kellen da Silva Francesconi,Valeska Francesconi,Fabio |
| author_sort |
Bastos,Thales Costa |
| title |
Syphilis associated with paretic neurosyphilis mimicking Reiter’s syndrome in HIV-infected patients |
| title_short |
Syphilis associated with paretic neurosyphilis mimicking Reiter’s syndrome in HIV-infected patients |
| title_full |
Syphilis associated with paretic neurosyphilis mimicking Reiter’s syndrome in HIV-infected patients |
| title_fullStr |
Syphilis associated with paretic neurosyphilis mimicking Reiter’s syndrome in HIV-infected patients |
| title_full_unstemmed |
Syphilis associated with paretic neurosyphilis mimicking Reiter’s syndrome in HIV-infected patients |
| title_sort |
syphilis associated with paretic neurosyphilis mimicking reiter’s syndrome in hiv-infected patients |
| description |
Abstract HIV/syphilis co-infection is common because both conditions affect similar risk groups. HIV interferes with the natural history of syphilis, which often has atypical clinical features and nervous system involvement in the early stage of disease. We report the case of an HIV-positive patient with secondary syphilis, scaling palmoplantar keratoderma, scrotal eczema, balanitis and urethritis mimicking Reiter’s syndrome. Immunohistochemistry using polyclonal antibodies against Treponema pallidum revealed the presence of spirochetes, associated with the paretic form of parenchymal neurosyphilis. The patient was given crystalline penicillin, with complete resolution of dermatological and neurological symptoms, and no sequelae. |
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Sociedade Brasileira de Dermatologia |
| publishDate |
2015 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000700212 |
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