Tramont E C
Walter Reed Army Institute of Research, Walter Reed Army Medical Center, Washington, D.C.
AIDS Clin Rev. 1991:97-107.
Because of the immunologic dysfunction of HIV-infected patients, concomitant infection with T. pallidum requires that maximal doses of appropriate antibiotics be given, and the expected falls in nontreponemal antibody titer cannot be relied upon to certify a cure. Genital ulcer disease appears to increase the risk of acquiring HIV. Therefore, all HIV-infected persons and persons with syphilis should be tested for both syphilis and HIV.
由于HIV感染患者存在免疫功能障碍,合并梅毒螺旋体感染时需要给予最大剂量的合适抗生素,且不能依靠非梅毒螺旋体抗体滴度的预期下降来证实治愈。生殖器溃疡疾病似乎会增加感染HIV的风险。因此,所有HIV感染者和梅毒患者都应同时接受梅毒和HIV检测。