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๐Ÿงต #IDtwitter , the #ImagesinID files bring us this tongue lesion ๐Ÿ” ๐Ÿ—‚ #IdBoardReview #MedTwitter

44 year old male, HIV (+), non adherent to antiretroviral therapy (CD4 120) presents for evaluation of this lesion: Image credits: Academia Esp...
๐Ÿค” The most likely microorganism responsible for this finding is:
๐Ÿชก1/5 B) Treponema Pallidum

This patient presents with a syphilitic gumma in the setting of tertiary syphilis

Although gummatous disease is uncommon, HIV patients have an increased risk of developing gummas most frequently in the oral cavity, skin or a viscera.
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