Document Detail

Syphilitic gastritis in an HIV-infected individual.
MedLine Citation:
PMID:  1449150     Owner:  NLM     Status:  MEDLINE    
We report the first known case of syphilitic gastritis in an HIV-infected person. The presentation of nonspecific abdominal pain and weight loss in a 48-yr-old former intravenous drug user previously treated for asymptomatic syphilis led to a barium swallow which demonstrated linitis plastica. Upper endoscopy reinforced a suspicion of carcinoma, but biopsy made the diagnosis of syphilis by silver staining. Further testing revealed a positive serology for syphilis as well as HIV infection with a depressed CD-4 lymphocyte count. Treatment with parenteral penicillin led to a rapid resolution of symptoms. This case represents a rare complication of late syphilis, and is another example of the unusual manifestations of syphilis seen in the HIV-infected population.
F Kasmin; S Reddy; U Mathur-Wagh; J Sarlin; A Goldman; H Antosofsky; N Strutynsky
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  87     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1992-12-29     Completed Date:  1992-12-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1820-2     Citation Subset:  IM; X    
Department of Medicine, The Beth Israel Medical Center, New York, New York.
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MeSH Terms
Gastritis / complications*
HIV Infections / complications*
Middle Aged
Syphilis / complications*

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