A 32-year-old Italian man who has sex with men (MSM) presented to our clinic with
a 10-day history of a solitary, painless, rapidly enlarging nodule on the dorsum of
the tongue, which did not hurt him and did not interfere with eating or drinking.
The patient reported flu-like symptoms, in particular fever, night sweats, myalgia,
and generalized weakness. The patient had a human immunodeficiency virus (HIV) screening
test 3 months earlier, which came back negative.
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References
- Syphilis and HIV co-infection.Eur J Intern Med. 2009; 20: 9-13
- Syphilis and HIV: a dangerous duo.Expert Rev Anti Infect Ther. 2005; 3: 825-831
- The challenging diagnosis of overlapping oral primary/secondary syphilis with nonreactive serology.J Cutan Pathol. 2020; 47: 1058-1062
- Diagnostic approaches in unsuspected oral lesions of syphilis.Int J Oral Maxillofac Surg. 2014; 43: 1436-1440
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Article Info
Publication History
Published online: March 16, 2022
Uma Paniker, MD, Section EditorFootnotes
Funding: None.
Conflict of Interest: None.
Authorship: All authors had access to the data and a role in writing this manuscript.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
