๐งต #IDtwitter , the #ImagesinID files bring us this tongue lesion ๐ ๐ #IdBoardReview #MedTwitter
44 year old male, HIV (+), non adherent to antiretroviral therapy (CD4 120) presents for evaluation of this lesion:
44 year old male, HIV (+), non adherent to antiretroviral therapy (CD4 120) presents for evaluation of this lesion:
๐ค The most likely microorganism responsible for this finding is:
๐ชก1/5 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.
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.
2/5 HHV-8 presents as Kaposiโs Sarcoma, the lesions are purplish, reddish blue, or dark brown/black macules, plaques, and nodules.
3/5 CMV can present as a painful tongue ulceration
4/5 MAC has no tongue involvement, and if so, other infectious causes should be ruled out.
onlinelibrary.wiley.com/doi/full/10.11โฆ
onlinelibrary.wiley.com/doi/full/10.11โฆ
5/5 Here is an #infographic about the clinical manifestations and treatment of #syphilis (the great imitator) at its different stages.
#IDTwitter thank you for participating and sharing ๐
#MedEd #MedTwitter #Medicine
#IDTwitter thank you for participating and sharing ๐
#MedEd #MedTwitter #Medicine
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