Indian J Sex Transm Dis Indian J Sex Transm Dis
Official Publication of the Indian Association for the Study of Sexually Transmitted Diseases
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Year : 2007  |  Volume : 28  |  Issue : 1  |  Page : 55-56
 

Noduloulcerative lesion on thigh in HIV-positive male


Department of Skin and VD, Government Medical College and SSG Hospital, Vadodara, India

Correspondence Address:
Y S Marfatia
Department of Skin and VD, Government Medical College and SSG Hospital, Vadodara
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7184.35718

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How to cite this article:
Ghiya R, Vora R, Sharma A, Marfatia Y S. Noduloulcerative lesion on thigh in HIV-positive male. Indian J Sex Transm Dis 2007;28:55-6

How to cite this URL:
Ghiya R, Vora R, Sharma A, Marfatia Y S. Noduloulcerative lesion on thigh in HIV-positive male. Indian J Sex Transm Dis [serial online] 2007 [cited 2020 Aug 13];28:55-6. Available from: http://www.ijstd.org/text.asp?2007/28/1/55/35718


A 39-year-old male with history of fever, weight loss and nonhealing perianal ulcer for 5 months presented to us. He was tested for human immunodeficiency virus (HIV) as he had past history of multiple sexual partners and was found to be HIV positive. His chest X-ray and USG abdomen were normal. His MT was nonreactive, and sputum for AFB did not show any bacilli. Swab taken from ulcer stained with Zeil Nelson (ZN) showed AFB. His CD 4 count was 130 cells/mm 3 . Considering the diagnosis of tuberculous perianal ulcer, he was put on anti-tubercular treatment (ATT) category I for 6 months; and he showed remarkable improvement. While on ATT, he developed noduloulcerative lesion on lateral aspect of left thigh, which was tender and bleeding on touch and with enlarged inguinal lymph node. Clinically it was suspected as ecthyma gangrenosum, and a course of oral feropenam 200 mg three times a day was given for 14 days. The lesion did not respond to the antibiotic, and the patient was then given oral azithromycin 500 mg once a day for 10 days.


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1.KoKo Aung. Bacillary angiomatosis. [Last updated on 2006 Mar 30]. Available from: http://www.emedicine.com/MED/topic196.htm. [Last accessed on 2007 Jul 15].   Back to cited text no. 1    
2.Koehler JE, Tappero JW. Bacillary angiomatosis and bacillary peliosis in patients infected with human immunodeficiency virus. Clin Infect Dis 1993;17:612-24.  Back to cited text no. 2  [PUBMED]  


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