مورد إلكتروني
Secondary Syphilis and Human Immunodeficiency Virus (HIV) Co-infection in Men Who Have Sex with Men (MSM) with Triple Doses Benzathine Penicillin G Treatment: A Case Report
العنوان: | Secondary Syphilis and Human Immunodeficiency Virus (HIV) Co-infection in Men Who Have Sex with Men (MSM) with Triple Doses Benzathine Penicillin G Treatment: A Case Report |
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المصدر: | Berkala Ilmu Kesehatan Kulit dan Kelamin; Vol. 35 No. 1 (2023): APRIL; 81-87; 2549-4082; 1978-4279 |
بيانات النشر: | Faculty of Medicine, Universitas Airlangga 2023-03-31 |
تفاصيل مُضافة: | sunarto, olivia awwalin Suyoso, Sulaksanaswastho Adhi Dharmasanti, Prasti |
نوع الوثيقة: | Electronic Resource |
مستخلص: | Background: World Health Organization (WHO) reported that there are 6 million new cases of syphilis worldwide per year. The incidence of syphilis in Indonesia has increased over the past few years, particularly among men who have sex with men (MSM). Purpose: To report a case of secondary syphilis with Human Immunodeficiency Virus (HIV) coinfection in MSM, thereby increasing understanding of high-risk sexual behavior among MSM. Case: A 26-year-old man with a chief complaint of rashes on both palms, soles of the feet, and face. The rashes spread with no itching, heat, or pain, which occurred two weeks ago. The patient was diagnosed with HIV in 2019. Physical examination found multiple violaceus macules with clear boundaries, 0.5–1 cm in size, covered with scales. Venereal Disease Research Laboratory (VDRL) serology titer was 1:16 and Treponema Pallidum Haemagglutination Assay (TPHA) was 1:20.480. The recent CD4 count was 440 with an undetectable HIV RNA viral load. Benzathine penicillin G 2.4 million units was given intramuscularly 3 times at 1-week intervals. The patient experienced clinical improvement and decreased VDRL and TPHA titers. Discussion: Syphilis patients with or without HIV would have similar clinical symptoms. However, syphilis patients with HIV tend to have more extensive lesions. The treatment option with three doses of benzathine penicillin G is still very effective in cases of syphilis with HIV. Conclusion: Syphilis has a higher incidence in MSM patients with extensive clinical manifestations of skin lesions. It can be observed in syphilis patients with HIV; therefore, close monitoring is needed. |
مصطلحات الفهرس: | Sexually Transmitted Disease, secondary syphilis, human immunodeficiency virus (HIV), Men Who Have Sex with Men (MSM), benzathine penicillin G, info:eu-repo/semantics/article, info:eu-repo/semantics/publishedVersion |
URL: | |
الإتاحة: | Open access content. Open access content Copyright (c) 2023 Berkala Ilmu Kesehatan Kulit dan Kelamin https://creativecommons.org/licenses/by-nc-sa/4.0Test |
ملاحظة: | application/pdf English |
أرقام أخرى: | IDAIR oai:e-journal.unair.ac.id:article/31803 10.20473/bikk.V35.1.2023.81-87 1381370894 |
المصدر المساهم: | UNIVERSITAS AIRLANGGA From OAIster®, provided by the OCLC Cooperative. |
رقم الانضمام: | edsoai.on1381370894 |
قاعدة البيانات: | OAIster |
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