Secondary Syphilis with Eosinophilia Complicated by Severe Jarisch–Herxheimer Reaction

It has long been acknowledged that syphilis is a disease with a diverse range of presentations. We herein describe a case of a young man who presented with fever, rash, and eosinophilia following the commencement of allopurinol, only to be diagnosed with secondary syphilis on histopathology. His tre...

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Main Authors: Anthony Elias, Kirsty Wark, Dana Slape, David Cook, Kenneth Lee, Genevieve Mckew
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2020/2150314
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author Anthony Elias
Kirsty Wark
Dana Slape
David Cook
Kenneth Lee
Genevieve Mckew
author_facet Anthony Elias
Kirsty Wark
Dana Slape
David Cook
Kenneth Lee
Genevieve Mckew
author_sort Anthony Elias
collection DOAJ
description It has long been acknowledged that syphilis is a disease with a diverse range of presentations. We herein describe a case of a young man who presented with fever, rash, and eosinophilia following the commencement of allopurinol, only to be diagnosed with secondary syphilis on histopathology. His treatment was complicated by a severe exacerbation of his cutaneous eruption following the commencement of penicillin, likely secondary to a Jarisch–Herxheimer reaction, an entity often overlooked by clinicians managing syphilis.
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institution Kabale University
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language English
publishDate 2020-01-01
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series Case Reports in Infectious Diseases
spelling doaj-art-527533c4ea5848faa925d9ee9816f7b22025-02-03T06:46:08ZengWileyCase Reports in Infectious Diseases2090-66252090-66332020-01-01202010.1155/2020/21503142150314Secondary Syphilis with Eosinophilia Complicated by Severe Jarisch–Herxheimer ReactionAnthony Elias0Kirsty Wark1Dana Slape2David Cook3Kenneth Lee4Genevieve Mckew5Department of Microbiology & Infectious Diseases, Concord Repatriation General Hospital, Sydney, New South Wales, AustraliaDepartment of Dermatology, Concord Repatriation General Hospital, Sydney, New South Wales, AustraliaDepartment of Dermatology, Concord Repatriation General Hospital, Sydney, New South Wales, AustraliaDepartment of Dermatology, Concord Repatriation General Hospital, Sydney, New South Wales, AustraliaDepartment of Anatomical Pathology, Concord Repatriation General Hospital, Sydney, New South Wales, AustraliaDepartment of Microbiology & Infectious Diseases, Concord Repatriation General Hospital, Sydney, New South Wales, AustraliaIt has long been acknowledged that syphilis is a disease with a diverse range of presentations. We herein describe a case of a young man who presented with fever, rash, and eosinophilia following the commencement of allopurinol, only to be diagnosed with secondary syphilis on histopathology. His treatment was complicated by a severe exacerbation of his cutaneous eruption following the commencement of penicillin, likely secondary to a Jarisch–Herxheimer reaction, an entity often overlooked by clinicians managing syphilis.http://dx.doi.org/10.1155/2020/2150314
spellingShingle Anthony Elias
Kirsty Wark
Dana Slape
David Cook
Kenneth Lee
Genevieve Mckew
Secondary Syphilis with Eosinophilia Complicated by Severe Jarisch–Herxheimer Reaction
Case Reports in Infectious Diseases
title Secondary Syphilis with Eosinophilia Complicated by Severe Jarisch–Herxheimer Reaction
title_full Secondary Syphilis with Eosinophilia Complicated by Severe Jarisch–Herxheimer Reaction
title_fullStr Secondary Syphilis with Eosinophilia Complicated by Severe Jarisch–Herxheimer Reaction
title_full_unstemmed Secondary Syphilis with Eosinophilia Complicated by Severe Jarisch–Herxheimer Reaction
title_short Secondary Syphilis with Eosinophilia Complicated by Severe Jarisch–Herxheimer Reaction
title_sort secondary syphilis with eosinophilia complicated by severe jarisch herxheimer reaction
url http://dx.doi.org/10.1155/2020/2150314
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AT danaslape secondarysyphiliswitheosinophiliacomplicatedbyseverejarischherxheimerreaction
AT davidcook secondarysyphiliswitheosinophiliacomplicatedbyseverejarischherxheimerreaction
AT kennethlee secondarysyphiliswitheosinophiliacomplicatedbyseverejarischherxheimerreaction
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