Features of the course of syphilis in HIV infected patients

Abstract

In the present article, relevant data on the characteristics of the course of infections transmitted through sexual contact (hereinafter STIs) are considered at the present stage. Particular attention is paid to mixed infections, in particular the combination of syphilis and HIV. Since the presence of both infections in a patient simultaneously significantly complicates the clinical picture, and also contributes to their spread in the population, which is an acute social problem. The article presents modern data on the epidemiology, level and dynamics of the incidence of syphilis and HIV infection in the Russian Federation, including among high-risk groups. Research data on the incidence of STIs (urogenital infections caused by Mycoplasma genitalium, Ureaplasma spp., Mycoplasma hominis, Chlamydia trachomatis, syphilis) and viral hepatitis B and C in 60 HIV-positive prisoners in the Kirov region are presented. The features of the development and course of syphilitic infection, the difficulties of diagnosis and therapy that occur with HIV are described. A case of own clinical observation of the malignant course of syphilis associated with HIV infection is presented. Both infections have been identified in the hospital where the patient is admitted with a diagnosis of spreading pyoderma, exhibited on the basis of complaints and clinical picture (ektimatoznye rash).