Indian J Sex Transm Dis Indian J Sex Transm Dis
Official Publication of the Indian Association for the Study of Sexually Transmitted Diseases
Indian J Sex Transm Dis
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CASE REPORT
Year : 2015  |  Volume : 36  |  Issue : 2  |  Page : 182-184

A case of secondary syphilis with HIV, resembling borderline lepromatous leprosy


1 Department of Dermatology and Venereology, Christian Medical College and Hospital, Ludhiana, Punjab, India
2 Department of Pathology, Christian Medical College and Hospital, Ludhiana, Punjab, India

Correspondence Address:
Mohan Zachariah Mani
Department of Dermatology and Venereology, Christian Medical College and Hospital, Brown Road, Ludhiana - 141 008, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7184.167171

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We are reporting an unusual case of secondary syphilis, in a homosexual male patient, which resembled borderline lepromatous leprosy, and in whom the diagnosis was considered on clinical grounds. The patient also had concomitant HIV infection, with asymptomatic neurosyphilis. His rapid plasma reagin test was reactive in 1:128 dilution. He improved with three standard, weekly injections of benzathine penicillin, along with 2 g of intravenous ceftriaxone daily for 15 days. This case is being reported to highlight the need for a high index of suspicion in diagnosing unusual cases of secondary syphilis, especially in those with concomitant HIV infection.


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