The Great Impostor: Transaminitis Masking the Coinfection of Syphilis and Human Immunodeficiency Virus
Introduction. The incidence of syphilis continues to rise in the United States over the past 15 years. This disease process is classified into stages and may present with a coinfection of Human Immunodeficiency Virus (HIV). Case Report. We present a case of a 32-year-old African American male who pr...
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/2481961 |
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| author | Sunit Tolia Hassan Kassem Ana Capatina-Rata |
| author_facet | Sunit Tolia Hassan Kassem Ana Capatina-Rata |
| author_sort | Sunit Tolia |
| collection | DOAJ |
| description | Introduction. The incidence of syphilis continues to rise in the United States over the past 15 years. This disease process is classified into stages and may present with a coinfection of Human Immunodeficiency Virus (HIV). Case Report. We present a case of a 32-year-old African American male who presented with cutaneous manifestations of secondary syphilis and transaminitis. A workup revealed that the transaminitis was secondary to underlying syphilitic hepatitis in the presence of HIV coinfection. The patient had a reactive rapid plasma reagin (RPR) of 1 : 64 TU and reactive Treponema pallidum particle agglutination assay (TPPA). Lab findings showed alkaline phosphate (ALP) of 648 unit/L, aspartate aminotransferase (AST) of 251 unit/L, and alanine aminotransferase (ALT) of 409 unit/L. Conclusion. Syphilitic hepatitis is a recognized entity in the medical literature. It is a manifestation of secondary syphilis and it is more commonly seen in coinfected patients with both syphilis and HIV. Therefore, primary care physicians should keep infectious etiologies (e.g., syphilis and HIV) in the differential diagnosis of patients who present with unexplained liver dysfunction in a cholestatic pattern. |
| format | Article |
| id | doaj-art-1677c4d59da7453c890e34b2a8ca29e4 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
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| series | Case Reports in Medicine |
| spelling | doaj-art-1677c4d59da7453c890e34b2a8ca29e42025-02-03T01:27:35ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/24819612481961The Great Impostor: Transaminitis Masking the Coinfection of Syphilis and Human Immunodeficiency VirusSunit Tolia0Hassan Kassem1Ana Capatina-Rata2St. John Providence Southfield Hospital, Southfield, MI, USASt. John Providence Southfield Hospital, Southfield, MI, USASt. John Providence Southfield Hospital, Southfield, MI, USAIntroduction. The incidence of syphilis continues to rise in the United States over the past 15 years. This disease process is classified into stages and may present with a coinfection of Human Immunodeficiency Virus (HIV). Case Report. We present a case of a 32-year-old African American male who presented with cutaneous manifestations of secondary syphilis and transaminitis. A workup revealed that the transaminitis was secondary to underlying syphilitic hepatitis in the presence of HIV coinfection. The patient had a reactive rapid plasma reagin (RPR) of 1 : 64 TU and reactive Treponema pallidum particle agglutination assay (TPPA). Lab findings showed alkaline phosphate (ALP) of 648 unit/L, aspartate aminotransferase (AST) of 251 unit/L, and alanine aminotransferase (ALT) of 409 unit/L. Conclusion. Syphilitic hepatitis is a recognized entity in the medical literature. It is a manifestation of secondary syphilis and it is more commonly seen in coinfected patients with both syphilis and HIV. Therefore, primary care physicians should keep infectious etiologies (e.g., syphilis and HIV) in the differential diagnosis of patients who present with unexplained liver dysfunction in a cholestatic pattern.http://dx.doi.org/10.1155/2017/2481961 |
| spellingShingle | Sunit Tolia Hassan Kassem Ana Capatina-Rata The Great Impostor: Transaminitis Masking the Coinfection of Syphilis and Human Immunodeficiency Virus Case Reports in Medicine |
| title | The Great Impostor: Transaminitis Masking the Coinfection of Syphilis and Human Immunodeficiency Virus |
| title_full | The Great Impostor: Transaminitis Masking the Coinfection of Syphilis and Human Immunodeficiency Virus |
| title_fullStr | The Great Impostor: Transaminitis Masking the Coinfection of Syphilis and Human Immunodeficiency Virus |
| title_full_unstemmed | The Great Impostor: Transaminitis Masking the Coinfection of Syphilis and Human Immunodeficiency Virus |
| title_short | The Great Impostor: Transaminitis Masking the Coinfection of Syphilis and Human Immunodeficiency Virus |
| title_sort | great impostor transaminitis masking the coinfection of syphilis and human immunodeficiency virus |
| url | http://dx.doi.org/10.1155/2017/2481961 |
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