Spirochetes in the Liver: An Unusual Presentation of a Common STI
It is estimated that 10% of patients with secondary syphilis have liver enzyme elevations, but clinical hepatitis is rare. However, in HIV-positive patients, syphilitic hepatitis may be much more common. We report a case of a 67-year-old male who developed progressively elevated liver enzymes, follo...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/1012405 |
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| author | Natasha Narang Layth Al-Jashaami Nayan Patel |
| author_facet | Natasha Narang Layth Al-Jashaami Nayan Patel |
| author_sort | Natasha Narang |
| collection | DOAJ |
| description | It is estimated that 10% of patients with secondary syphilis have liver enzyme elevations, but clinical hepatitis is rare. However, in HIV-positive patients, syphilitic hepatitis may be much more common. We report a case of a 67-year-old male who developed progressively elevated liver enzymes, followed by development of neurological symptoms and then rash. Though the timeline of his symptom development was unusual, his constellation of symptoms prompted an RPR and FTA-ABS which returned reactive. He was additionally found to be HIV positive with a CD4 count of 946. He was treated with IV Penicillin, and his hepatitis improved thereafter. |
| format | Article |
| id | doaj-art-50e374a9fcd64ee4a1e9b5d33cf90ecf |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-50e374a9fcd64ee4a1e9b5d33cf90ecf2025-02-03T01:12:34ZengWileyCase Reports in Medicine1687-96271687-96352019-01-01201910.1155/2019/10124051012405Spirochetes in the Liver: An Unusual Presentation of a Common STINatasha Narang0Layth Al-Jashaami1Nayan Patel2Department of Internal Medicine, Banner University Medical Center, Phoenix, AZ, USADepartment of Gastroenterology, Banner University Medical Center, Phoenix, AZ, USADepartment of Gastroenterology, Banner University Medical Center, Phoenix, AZ, USAIt is estimated that 10% of patients with secondary syphilis have liver enzyme elevations, but clinical hepatitis is rare. However, in HIV-positive patients, syphilitic hepatitis may be much more common. We report a case of a 67-year-old male who developed progressively elevated liver enzymes, followed by development of neurological symptoms and then rash. Though the timeline of his symptom development was unusual, his constellation of symptoms prompted an RPR and FTA-ABS which returned reactive. He was additionally found to be HIV positive with a CD4 count of 946. He was treated with IV Penicillin, and his hepatitis improved thereafter.http://dx.doi.org/10.1155/2019/1012405 |
| spellingShingle | Natasha Narang Layth Al-Jashaami Nayan Patel Spirochetes in the Liver: An Unusual Presentation of a Common STI Case Reports in Medicine |
| title | Spirochetes in the Liver: An Unusual Presentation of a Common STI |
| title_full | Spirochetes in the Liver: An Unusual Presentation of a Common STI |
| title_fullStr | Spirochetes in the Liver: An Unusual Presentation of a Common STI |
| title_full_unstemmed | Spirochetes in the Liver: An Unusual Presentation of a Common STI |
| title_short | Spirochetes in the Liver: An Unusual Presentation of a Common STI |
| title_sort | spirochetes in the liver an unusual presentation of a common sti |
| url | http://dx.doi.org/10.1155/2019/1012405 |
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