Cholangitis and pulmonary nodules in a clinical presentation of syphilis in an HIV-infected patient

被引：0

作者：

Hermida-Lama, Evelyn ^{[1
]}

Marco-Hernandez, Javier ^{[1
]}

Annalisa Medaglia, Alice ^{[1
,2
]}

Pages, Mario ^{[3
]}

Vollmer, Ivan ^{[3
]}

Ramirez, Josep ^{[4
]}

Martinez, Daniel ^{[4
]}

Mallolas, Josep ^{[1
,5
]}

Garcia, Felipe ^{[1
,5
]}

机构：

[1] Hosp Clin Barcelona, Infect Dis Dept, Barcelona, Spain

[2] Policlin P Giaccone, Infect Dis Dept, Palermo, Italy

[3] Hosp Clin Barcelona, Radiol Dept, Barcelona, Spain

[4] Hosp Clin Barcelona, Pathol Dept, Barcelona, Spain

[5] Univ Barcelona, Invest Biomed August Pi i Sunyer IDIBAPS, Hosp Clin, AIDS Res Grp, Barcelona, Spain

来源：

INTERNATIONAL JOURNAL OF STD & AIDS | 2019年 / 30卷 / 08期

关键词：

Syphilis; cholangitis; pulmonary nodules; human immunodeficiency virus; SECONDARY SYPHILIS; SKIN RASH; INVOLVEMENT;

D O I：

10.1177/0956462418823386

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Several clinical manifestations attributed to syphilitic infection have been described in the literature. This is important because of the increased incidence of this infection mainly among men who have sex with men. We report the case of an HIV-infected patient who was hospitalized due to severe cholestasis, initially interpreted as drug-induced liver disease. It evolved slowly, with increasing intrahepatic cholangitis confirmed by magnetic resonance cholangiography and the appearance of several pulmonary nodules. In lung and liver biopsies, the presence of Treponema pallidum was detected by molecular and immunohistochemistry techniques, and a diagnosis of cholangitis and pulmonary syphilis was made.

引用

页码：820 / 824

页数：5