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Chest, Vol 105, 629-631, Copyright © 1994 by American College of Chest Physicians

ARTICLES

Syphilitic pneumonitis in an HIV-infected patient

DP Dooley and S Tomski
Department of Medicine, Brooke Army Medical Center, Houston, Texas.

Pneumonitis and symptomatic hepatitis are very rare complications of syphilis. Symptomatic hepatitis and subclinical reticulonodular pulmonary infiltrates were observed when an HIV-infected patient presented with secondary syphilis. The Jarisch-Herxheimer reaction included a flare of hepatitis symptoms, resembling cholangitis. In a patient with syphilis, it may be appropriate to delay an aggressive evaluation for suspected pneumonitis or cholangitis pending the outcome of specific antitreponemal therapy.


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