Daskalakis Demetre
ACTU/Medicine, 550 First Avenue, BCD 5th Floor (Room 558), New York, NY 10016, USA.
Curr HIV/AIDS Rep. 2008 May;5(2):72-7. doi: 10.1007/s11904-008-0012-6.
As the "great imitator" of disease, syphilis, caused by the bacterium Treponema pallidum, continues to be a conceptually elusive condition that is surrounded by diagnostic ambiguity and clinical misunderstanding. Concurrent HIV infection adds further difficulty by introducing the oldest and most confusing medical conundrum into the socially and biologically complex situation of treating patients with a virus we are still only learning to manage. Syphilis continues to be a challenge to the health of men who have sex with men and people of color as infection rates continue to increase within these substantial subgroups living with HIV. As the resurgence of syphilis continues, a clear understanding of diagnostic testing, disease-staging paradigms, and treatment strategies are necessary for optimal management of the HIV co-infected patient.
作为疾病的“伟大模仿者”，由梅毒螺旋体引起的梅毒，仍然是一种在概念上难以捉摸的病症，它被诊断上的模糊性和临床误解所笼罩。同时感染艾滋病毒会带来更多困难，因为在我们仍在学习如何应对的病毒感染患者的复杂社会和生物学状况中，引入了最古老且最令人困惑的医学难题。梅毒对男男性行为者和有色人种的健康仍然构成挑战，因为在这些感染艾滋病毒的大量亚群体中，感染率持续上升。随着梅毒疫情的持续反弹，对于合并感染艾滋病毒的患者进行最佳管理，清晰了解诊断检测、疾病分期模式和治疗策略是必要的。
