- ISSN: 0253-8253
- EISSN: 2227-0426
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oa Lues maligna in a patient living with HIV: A case report
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Authors:
Jaime Eugenio Espinosa-Mora1, Mauricio Alejandro Saldana-Ruiz2
, Karla Monserrat Ramírez-Pintor3, Federico Ortiz-Alonso2, Mauricio Linnery Rendón-Saldivar2 and Luis Alberto Perona-Ramírez4
- Source: Qatar Medical Journal, Volume 2025, Issue 1, Mar 2025, 27
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- 21 April 2024
- 28 October 2024
- 17 March 2025
Abstract
Background: Malignant syphilis is a rare form of secondary syphilis that occurs mainly in patients living with human immunodeficiency virus (HIV), with approximately 15 cases reported in the last century. We present the case of a patient treated in our institution.
Case presentation: A 25-year-old male patient presented with round lesions in the form of ulcerations with blackish crust on the plantar area and inner edge of the right foot. VDRL (venereal disease research laboratory) test and ELISA (enzyme-linked immunosorbent assay) were performed for the diagnosis of syphilis and HIV, respectively, which were positive. Subsequently, the patient was hospitalized, and ceftriaxone was indicated due to the lack of crystalline penicillin G in the hospital. Four days later, he had complete improvement of the skin lesions. The patient is currently stable and has no recurrence of skin lesions.
Discussion: Due to the lack of supplies in our unit, we chose ceftriaxone, which is used in patients with penicillin allergies. The use of this drug has shown good outcomes in different reviews.
Conclusion: Due to the use of appropriate treatment, the patient is currently stable and has no recurrence of skin lesions. Malignant syphilis should be considered as part of the differential diagnosis in patients who present with nodulo-ulcerative lesions and have a positive treponemal or non-treponemal test.
