Artikel: Sífilis maligna en el paciente infectado por el virus de la inmunodeficiencia humana (VIH): descripción de un caso y revision de la literatura.
Anales de medicina interna (Madrid, Spain : 1984)
2003 Band 20, Heft 7, Seite(n) 373–376
Abstract: Malignant syphilis is an infrequent manifestation of syphilis in HIV infected patients. Only 21 cases have been published in medical literature. Most frequent in men, 62%, the mean age of presentation is 34 years. The most frequent symptoms are: 100% ... ...
| Titelübersetzung | Malignant syphilis in patient with human immunodeficiency virus (HIV): case report and literature review. |
|---|---|
| Abstract | Malignant syphilis is an infrequent manifestation of syphilis in HIV infected patients. Only 21 cases have been published in medical literature. Most frequent in men, 62%, the mean age of presentation is 34 years. The most frequent symptoms are: 100% ulcerative cutaneous lesions, 47% fever and 33% ocular affectation. About 80% of the patients have a CD4 count >200. Lues serological test was 100% positive and 81% responded to penicillin. We report a 18 year old woman diagnosed of HIV infection, admitted to our service because of fever, painful oral sores, over-elevated eritematous lesions and cratered ulcers all over the body, with the initial suspicion of chickenpox. Lues serology turned out to be positive, as well as the Warthin Starry stain. After penicillin treatment was initiated, skin lesions improved, although residual lesions currently persist. Malignant syphilis should be considered in infected HIV patients with fever and ulcerated skin injuries as a possible diagnosis. Eventhough serological tests allow diagnosis confirmation, Warthin Starry stain can be useful when serology is negative. The first choice of treatment is penicillin and in case of penicillin allergy, a third generation cefalosporine should be used. |
| Mesh-Begriff(e) | Adolescent ; Female ; HIV Infections/complications ; HIV-1 ; Humans ; Penicillin G Benzathine/therapeutic use ; Penicillins/therapeutic use ; Syphilis Serodiagnosis ; Syphilis, Cutaneous/blood ; Syphilis, Cutaneous/complications ; Syphilis, Cutaneous/drug therapy ; Treatment Outcome |
| Chemische Substanzen | Penicillins ; Penicillin G Benzathine (RIT82F58GK) |
| Sprache | Spanisch |
| Erscheinungsdatum | 2003-07 |
| Erscheinungsland | Spain |
| Dokumenttyp | Case Reports ; English Abstract ; Journal Article ; Review |
| ZDB-ID | 639013-4 |
| ISSN | 0212-7199 |
| ISSN | 0212-7199 |
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
Zusatzmaterialien
Kategorien
Verfügbar in ZB MED Köln/Königswinter
| Zs.B 3021: Hefte anzeigen | Standort: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Über subito bestellen
Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.