Conventional systemic treatments associated with therapeutic sites of local lesions of secondary syphilis in the oral cavity in patients with AIDS.

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dc.contributor.authorGiovani, Elcio Magdalena
dc.contributor.authorNeto, Edson Rodrigues de Paula
dc.contributor.authorVieira, Bruno Caputo
dc.contributor.authorAndrade, Daniela Miranda Richarte de
dc.date.accessioned2013-03-26T06:13:06Z
dc.date.available2013-03-26T06:13:06Z
dc.date.issued2012-09
dc.description.abstractPatients with HIV infection may develop common diseases with atypical clinical features. HIV infection can change the classic clinical course of syphilis and increase the incidence of malignant syphilis. Malignant syphilis is a rare subtype of secondary syphilis that presents special clinical and histological features and has been associated with several processes characterized by variable degrees of immunosuppression. It is necessary to consider the possibility of this entity in the differential diagnoses in HIV-infected patients with cutaneous lesions. The dental surgeon (or oral surgeon) is vital to the medical team for promoting the health and improving the quality of life of syphilis patients. A patient with HIV infection was referred to us for complaints of a white patch on the tongue, stinging and burning sensation on the tongue, loss of taste, and dryness of the mouth. On clinical examination, the patient was found to have a tabetic gait (the Prussian soldier gait) associated with Charcot arthropathy. We also identified bilateral lesions with ulceration and exposure of the tissue that were tender, characterized by discrete necrosis. The treatment that was initiated at that time involved cleaning the area with gauze to remove all the white patches, followed by rinsing with bicarbonate in water (one teaspoon of baking soda dissolved in half a glass of water) four times a day. Additionally, fluconazole (100 mg/day for 7 days) was prescribed. We diagnosed secondary malignant syphilis of approximately 5 days duration. As an adjunctive therapy, we performed low-intensity laser treatment using a GaAsAl (gallium-aluminum arsenide) laser at 790 nm. With this treatment there was progressive resolution of the lesions.en_US
dc.identifier.citationGiovani Elcio Magdalena, Neto Edson Rodrigues de Paula, Vieira Bruno Caputo, Andrade Daniela Miranda Richarte de. Conventional systemic treatments associated with therapeutic sites of local lesions of secondary syphilis in the oral cavity in patients with AIDS. Indian Journal of Dental Research. 2012 Sept-Oct; 23(5): 670-673.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/145802
dc.language.isoenen_US
dc.source.urihttps://www.ijdr.in/article.asp?issn=0970-9290;year=2012;volume=23;issue=5;spage=670;epage=673;aulast=Giovanien_US
dc.subjectAcquired syphilisen_US
dc.subjectcongenitalen_US
dc.subjectHIVen_US
dc.subjectlow-output lasersen_US
dc.subjectmalignant syphilisen_US
dc.subjectoral manifestationsen_US
dc.subjectsexually transmitted diseasesen_US
dc.subjectsyphilisen_US
dc.subjectTreponema pallidumen_US
dc.subject.meshAdolescent
dc.subject.meshAcquired Immunodeficiency Syndrome --complications
dc.subject.meshEuropean Continental Ancestry Group
dc.subject.meshHIV Infections --complications
dc.subject.meshHumans
dc.subject.meshLasers, Semiconductor --therapeutic use
dc.subject.meshMale
dc.subject.meshMouth
dc.subject.meshOral Manifestations --epidemiology
dc.subject.meshOral Manifestations --therapy
dc.subject.meshPatients
dc.subject.meshSex Workers
dc.subject.meshSyphilis --complications
dc.subject.meshSyphilis --therapy
dc.subject.meshTreponema pallidum --pathogenicity
dc.titleConventional systemic treatments associated with therapeutic sites of local lesions of secondary syphilis in the oral cavity in patients with AIDS.en_US
dc.typeArticleen_US
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