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Polyostotic Osteitis in Secondary Syphilis in an HIV-Infected Patient

Boix, Vicente MD, PhD; Merino, Esperanza MD; Reus, Sergio MD, PhD; Torrus, Diego MD, PhD; Portilla, Joaquín MD, PhD

doi: 10.1097/01.OLQ.0000431351.50346.20
Case Report

We herein describe a case of secondary syphilis in a patient with HIV infection that presented with an unusually diffuse polyostotic osteitis with skull involvement. Syphilis has to be added to the differential diagnosis of extensive inflammatory bone pain in patients at risk, especially if pain worsens at night.

Secondary syphilis in a patient with HIV infection that presented as widespread polyostotic osteitis with skull involvement was described.

From the Unidad de Enfermedades Infecciosas, Hospital General Universitario de Alicante, Alicante, Spain

Conflicts of interest and source of funding: None declared.

Correspondence: Vicente Boix, MD, PhD, Unidad de Enfermedades Infecciosas, Hospital General Universitario de Alicante, Maestro Alonso 109, 03010 Alicante, Spain. E-mail boix_vic@gva.es.

Received for publication February 8, 2013, and accepted May 7, 2013.

© Copyright 2013 American Sexually Transmitted Diseases Association