@proceedings{96039,
  author = {Luthfiandi MR and Pudjiati SR and Soebono H},
  title = {Leprosy, Syphilis, and Human Immunodeficiency Virus Coinfection: A Case Report},
  abstract = {Coinfection between leprosy, syphilis and HIV is very rare, and this association remains unclear. We report
55 years old man from Bantul, Indonesia, who present almost all over the body covered with erytematous
patches and plaques in various sizes, multiple, discrete with ulnaris nerve enlargement. This patient was
diagnosed as BL leprosy, secondary syphilis and HIV infection. Laboratory investigation showed Bacterial
Index 3+ and Morphological Index 43.75%, positive TPHA, VDRL 1/32, and HIV reactive with CD4 count
4. Histologic finding demonstrated as acute viral exanthem. We treated this patient with WHO-multidrug
therapy regimen for MB leprosy, benzathin penicillin 2.4 million unit IM single dose, and triple FDC
(tenofovir, hiviral, and efavirenz) once a day. A month after therapy, VDRL was surprisingly increasing to
1/256 in titer. Hence, we re-treated him with benzatin penicillin 2,4 million unit once a week for 3
consecutive weeks. We conclude that coinfection between these three diseases make the clinical
manifestation and histological become atypical, and it amay influence each other. Treatment of these
diseases combination was the same as the disease separately.},
  year = {2018},
  journal = {Proceedings of the 23rd Regional Conference of Dermatology},
  publisher = {SCITEPRESS - Science and Technology Publications},
  url = {https://www.scitepress.org/Papers/2018/81599/81599.pdf},
  doi = {10.5220/0008159904690472},
}