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Lues maligna in an HIV-infected patient.

Passoni LF, de Menezes JA, Ribeiro SR, Sampaio EC

Serviço de Doenças Infecciosas e Parasitárias, Hospital dos Servidores do Estado, Rio de Janeiro, RJ, Brasil. lfpassoni@ig.com.br

We report such a case of malignant syphilis in a 42-year-old HIV-infected man, co-infected with hepatitis B virus, who presented neurolues and the classical skin lesions of lues maligna. The serum VDRL titer, which was 1:64 at presentation, increased to 1:2,048 three months after successful therapy with penicillin, decreasing 15 months later to 1:8.

Published 11 April 2005 in Rev Soc Bras Med Trop, 38(2): 181-4.
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