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Syphilis? An Unusual Cause of Surgical Emergency in a Human Immunodeficiency Virus-Infected Man
Author(s) -
Rachel Bender Ignacio,
Lisa Koch,
Shireesha Dhanireddy,
B. Charmie Godornes,
Sheila A. Lukehart,
Jeanne Marrazzo
Publication year - 2015
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofv094
Subject(s) - medicine , syphilis , rash , anus , human immunodeficiency virus (hiv) , virology , treponema , polymerase chain reaction , surgery , biochemistry , chemistry , gene
We report on a human immunodeficiency virus-infected man undergoing urgent anorectal surgery, with multi-centimeter fungating masses discovered inside the anus. Initial pathology was inconclusive. After the patient developed a disseminated rash postoperatively determined to be secondary syphilis, the anorectal pathology was reviewed and Treponema pallidum DNA was amplified by polymerase chain reaction from the mass.

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