An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient

Syphilis is a sexually transmitted infection caused by Treponema pallidum. It progresses in phases and undiagnosed disease can cause considerable morbidity. Tertiary syphilis causes the formation of gummas. Liver involvement is rarely described and usually limited to transaminase elevation during pr...

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Main Authors: Nadia Solomon, Tom Heller, Tommaso Manciulli, Paola Del Giacomo, Katleen de Gaetano Donati, Enrico Brunetti, Francesco Taccari
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2024/6571155
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author Nadia Solomon
Tom Heller
Tommaso Manciulli
Paola Del Giacomo
Katleen de Gaetano Donati
Enrico Brunetti
Francesco Taccari
author_facet Nadia Solomon
Tom Heller
Tommaso Manciulli
Paola Del Giacomo
Katleen de Gaetano Donati
Enrico Brunetti
Francesco Taccari
author_sort Nadia Solomon
collection DOAJ
description Syphilis is a sexually transmitted infection caused by Treponema pallidum. It progresses in phases and undiagnosed disease can cause considerable morbidity. Tertiary syphilis causes the formation of gummas. Liver involvement is rarely described and usually limited to transaminase elevation during primary syphilis. We present a case of tertiary syphilis in an HIV patient. Microbiological, clinical, and radiological information were retrieved from the patient’s record. Gummatous syphilis is rarely described in the literature, and practicing physicians should be aware of its existence and include this manifestation in the differential diagnosis of patients with a positive serology and focal liver lesions.
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spelling doaj-art-ac152082f0eb47baa6505c2312292ab62025-02-03T06:02:22ZengWileyCase Reports in Infectious Diseases2090-66332024-01-01202410.1155/2024/6571155An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive PatientNadia Solomon0Tom Heller1Tommaso Manciulli2Paola Del Giacomo3Katleen de Gaetano Donati4Enrico Brunetti5Francesco Taccari6Department of Radiology and Biomedical ImagingLighthouse ClinicDepartment of Experimental and Clinical MedicineInternational Training and Education Center for HealthInternational Training and Education Center for HealthDepartment of Clinical-Surgical, Diagnostic and Pediatric SciencesInternational Training and Education Center for HealthSyphilis is a sexually transmitted infection caused by Treponema pallidum. It progresses in phases and undiagnosed disease can cause considerable morbidity. Tertiary syphilis causes the formation of gummas. Liver involvement is rarely described and usually limited to transaminase elevation during primary syphilis. We present a case of tertiary syphilis in an HIV patient. Microbiological, clinical, and radiological information were retrieved from the patient’s record. Gummatous syphilis is rarely described in the literature, and practicing physicians should be aware of its existence and include this manifestation in the differential diagnosis of patients with a positive serology and focal liver lesions.http://dx.doi.org/10.1155/2024/6571155
spellingShingle Nadia Solomon
Tom Heller
Tommaso Manciulli
Paola Del Giacomo
Katleen de Gaetano Donati
Enrico Brunetti
Francesco Taccari
An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient
Case Reports in Infectious Diseases
title An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient
title_full An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient
title_fullStr An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient
title_full_unstemmed An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient
title_short An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient
title_sort uncommon manifestation of a great imitator gummatous syphilis of the liver in an hiv positive patient
url http://dx.doi.org/10.1155/2024/6571155
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