A 38-year-old man presented with an emergency medical complaint for evaluation of lower lip for a month and a half of evolution.
The patient had a history of unrelated hepatitis, hysterectomy in childhood, and homosexual habit.
A month and a half ago the patient noticed the appearance of a lower lip lesion that partially improved after treatment with radiation therapy by his primary care physician, but worsened when leaving him.
The patient also reported recent scrotal and left foot lesions.
Physical examination revealed a 2 cm ulcerated lesion on the left side of the lower lip bellón, of base, not painful to induration.
The neck was negative for lymphadenopathy.
No other lesions were observed in the head and neck area.
Simultaneously, on the left foot, the patient presented an ulcerated lesion of 0.5 cm interdigital tact, surface exudate on the serous foot, and multiple, smaller, rounded, red-colored macules
Finally, he showed ulcerated lesions in the scrotum of small size (less than 0.5 cm) in different phases and painful upon resolution several times.
The rest of the physical examination was within normal limits.
1.
Biopsy of the labral lesion was inconclusive and laboratory tests were requested for screening for HBV infections (HBsAg: HCV: negative, Anti-HBc: positive ELISA CD8 + ELISA positive, CD1 000 mRNA quantitative
STUDY: Positive.
ELISA captures G: Positive (treponemal test) and tuberculosis (Mistux: negative).
CRT was not performed due to the absence of neurological symptoms and short evolution.
With the diagnosis of syphilis in a patient with HIV, the patient was treated with a single dose of Penicillin G Benzatin (2.4 million U) i.m. with complete resolution of the lesions in two weeks.
The serological control at 6 months confirmed the resolution of the condition.
