Sex Transm Dis. 2010 Aug 19. [Epub ahead of print]

Malignant Syphilis in a HIV Infected Patient.

Jalili A, Mosleh M, Grabmeier-Pfistershammer K, Loewe R, Stingl G, Rieger A.

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From the *Division of Immunology, Allergy and Infectious Diseases, Department of Dermatology, Medical University of Vienna, AKH-General Hospital, Vienna, Austria; and daggerDivision of General Dermatology, Department of Dermatology, Medical University of Vienna, AKH-General Hospital, Vienna, Austria.

Abstract

We present the case of a 47-year-old white HIV-1 infected female patient with multiple painless rupioid skin lesions, a CD4 count of 155 cells/mm, positive syphilis serology, and a histopathology conspicuous for malignant syphilis. She could be successfully treated with Benzathine-benzylpenicillin (Retarpen) 2,4 Mega I.E., 3x intramuscularly in weekly intervals.

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