Multistages and Reinfection of Syphilis: A Case Report with Jarisch Herxheimer Reaction
Keywords:
Multistage and reinfection of syphilis, Jarisch Herxheimer reactionAbstract
Multistage and reinfection of syphilis, which developed genital chancre after secondary syphilis is an uncommon manifestation. Among HIV-positive MSM, concurrent primary chancres with secondary syphilis are common. The Jarisch-Herxheimer reaction (JHR) is a transient immunological phenomenon and increases in incidence among HIV patients. This report demonstrates a case of secondary syphilis and reinfection in a 19-year-old Thai male who presented with multiple erythematous maculopapular rashes on trunk, extremities, palms and soles for 5 days and then had multiple painless genital ulcers 2 days later. He developed Jarisch-Herxheimer reaction after the treatment.
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