Abstract
We report on a human immunodeficiency virus-infected man undergoing urgent anorectal surgery, with multi-centimeter fungating masses discovered inside the anus. Initial pathology was inconclusive. After the patient developed a disseminated rash postoperatively determined to be secondary syphilis, the anorectal pathology was reviewed and Treponema pallidum DNA was amplified by polymerase chain reaction from the mass.
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Details
1 Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington; Vaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Division of Allergy and Infectious Diseases
2 Department of Pathology
3 Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington
4 Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington; Department of Global Health, University of Washington, Seattle