Ulcerative syphilis (malignant syphilis) in a patient with human immunodeficiency virus infection. About a case by Camila Ramírez in Journal of Clinical Case Reports Medical Images and Health Sciences
Ulcerative syphilis (malignant syphilis) in a patient with human immunodeficiency virus infection. About a case by Camila Ramírez in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract We present the case of a 59-year-old male patient diagnosed with HIV infection since 2008 on intermittent antiretroviral therapy with dolutegravir+lamivudine/abacavir, stage C3 (viral load 29,855 and CD4 count 40) who was admitted for clinical picture of two months of evolution consisting of the appearance of non-pruritic nodular ulcerated cutaneous lesions on the face and lower limbs associated with loss of visual acuity in the left eye, on physical examination with ulcerated lesions with necrotic and hyperkeratotic edges, for which reason they were requested extension studies within which he presented reactive VDRL, which is why a skin biopsy was requested due to the suspicion of malignant syphilis, as well as lumbar puncture and ophthalmological assessment confirming Neu...