November 12, 2014
Notes: da Costa, D W
van Santvoort, H C
Horvath, K D
Carter, C R
Bollen, T L
Gooszen, H G
Besselink, M G
Bakker, O J
Research Support, Non-U.S. Gov’t
Br J Surg. 2014 Jan;101(1):e65-79. doi: 10.1002/bjs.9346. Epub 2013 Nov 22.
Author Address: Department of Operating Theatres and Evidence Based Surgery, Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands.
Reference Type: Journal Article
Record Number: 4639Author: da Silva, B. A., Soi, T. S., Cameron, D., Karikkineth, A. C. and Williams, R. B.
Title: Syphilis, Hepatitis, and Pancreatitis: Is the Uncommon Becoming Common in the HIV(+) Patient?
Journal: Case Rep Infect Dis
Short Title: Syphilis, Hepatitis, and Pancreatitis: Is the Uncommon Becoming Common in the HIV(+) Patient?
Alternate Journal: Case reports in infectious diseases
ISSN: 2090-6625 (Print)
Accession Number: 24383017
Abstract: Background. Coinfection with human immunodeficiency virus (HIV) and syphilis has been occurring at increasing rates, with the greatest increases being seen among men who have sex with men. Secondary syphilis rarely presents with liver disease, and the diagnosis may be overlooked in favor of more common causes of liver injury in this setting, such as viral hepatitis, antiretroviral therapy, alcohol use, and opportunistic infections. Case Presentation. We describe a 43-year-old patient with HIV who presented with symptoms suggesting acute pancreatitis. Investigation led to a diagnosis of hepatitis and pancreatitis, both attributed to syphilis. Conclusion. Syphilis should be included as part of the initial diagnosis among patients with HIV presenting with abnormal liver and pancreatic enzymes.