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Published on: June 11, 2011
Colitis and gastroparesis associated with syphilis in an HIV-infected person with an undetectable viral load
Andrew Gamenthaler1, Naem Moon, Salina Lucero
1Department of Surgery, Memorial University Medical Center, Savannah, Georgia, USA.
Abstract:
We present a patient with fully controlled HIV disease and a normal CD4 count whose initial treatment for syphilis failed. Biopsy-proven syphilitic colitis and severe gastroparesis developed, requiring the insertion of a temporary percutaneous gastrostomy tube. The patient responded to a course of high-dose aqueous crystalline penicillin followed by doxycycline, and he completely recovered. The occurrence of failure of conventional syphilis treatment in HIV-infected patients is discussed.
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