Quaresma M J, Valadas E, Ferreira J J
Serviço de Doenças Infecciosas, Hospital de Santa Maria, Lisboa.
Acta Med Port. 1995 May;8(5):313-7.
Syphilis in HIV-infected patients reveals some particular aspects which are clinically relevant and disturbing: it is more frequent and develops more quickly to late stages, namely neurosyphilis; this progression may happen even if classic therapy in the early stages has been undertaken; the diagnosis of neurosyphilis is rather complex, the serological tests being of no definite credit; high doses of intravenous penicillin should be administered for a long period. We report a case that exemplifies the aspects described above.
感染HIV的患者患梅毒会呈现出一些在临床上相关且令人不安的特殊情况:梅毒更为常见,且发展至晚期(即神经梅毒)的速度更快;即便在早期进行了经典治疗,这种进展仍可能发生;神经梅毒的诊断相当复杂,血清学检测的可靠性不明确;应长期大剂量静脉注射青霉素。我们报告一例体现上述情况的病例。