Malignant syphilis in an HIV-infected patient

Takahito Chiba, Akari Tashiro, Yoichi Moroi, Masutaka Furue, Hiroaki Taniai, Norihiro Furusho, Jun Hayashi

Research output: Contribution to journalArticlepeer-review


We report a case of malignant syphilis in a 32-year-old HIV-infected man who presented with a number of crusted papulonodular skin lesions scattered on his entire body, accompanied by fever and lymphadenitis. The serological test for syphilis, Treponema pallidum latex immunoassay, showed a positive result. A biopsy specimen from the right upper arm was histopathologically compatible with secondary syphilis and immunohistochemically positive for T. pallidum. Based on these serologic, histopathologic and immunohistochemical findings, a definitive diagnosis of malignant syphilis was made, which was successfully treated with oral antibiotics. Malignant syphilis should be considered when ulceronodular skin lesions are encountered in HIV-infected individuals.

Original languageEnglish
Pages (from-to)126-128
Number of pages3
JournalNishinihon Journal of Dermatology
Issue number2
Publication statusPublished - 2010

All Science Journal Classification (ASJC) codes

  • Dermatology


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