Malignant syphilis as the first manifestation of HIV infection

Malignant syphilis as the first manifestation of HIV infection

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Malignant syphilis is a rare and severe variant of secondary syphilis.It is clinically characterized by large papular, nodular and ulcerative lesions affecting the trunk and the extremities and covered Dog Tag Necklace Gift Box with thick crust.We present a case of 52-year-old homosexual male who developed malignant syphilis and this was the first clinical PROTEIN UNFLAVOURED manifestation of HIV infection.The patient was treated successfully with intravenous aqueous crystalline penicillin G.

Physicians should recognize malignant syphilis and considered it in all HIV-infected individuals with ulceronodular skin lesions.