A Case Report of Secondary Syphilis Co-Infected with Measles: A Diagnostic Dilemma with Fever and Rash
Abstract
:1. Introduction
2. Materials and Methods
3. Case Report
4. Discussion
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Day of Illness | Third Day | Fourth Day |
---|---|---|
Hemoglobin g/dL (14.0–18.0) | 16.8 | 16.7 |
Hematocrit % (40.0–54.0) | 49.2 | 49.6 |
Leukocytes/µL (5000–1000) | 5800 | 5100 |
Neutrophils/µL (2500–6000) | 4408 | 3723 |
Lymphocytes/µL (1000–4800) | 406 | 561 |
Monocytes/µL (200–800) | 0 | 102 |
Eosinophils/µL (30–350) | 0 | 0 |
Basophils/µL (0–300) | 0 | 0 |
Band form/µL (0–4) | 928 | 510 |
Atypical lymphocytes/µL (0–600) | 58 | 204 |
Platelets/µL (150,000–450,000) | 155,000 | 136,000 |
Direct bilirubin mg/dL (0.0–0.3) | 0.1 | |
Total bilirubin mg/dL (0.0–1.2) | 0.3 | |
Total protein g/dL (6.6–8.7) | 7.1 | |
Albumin g/dL (3.5–5.2) | 3.9 | |
Globulin g/dL (2.5–3.5) | 3.2 | |
Alkaline phosphatase IU/L (40–129) | 80 | |
Aspartate aminotransferase IU/L (0–40) | 44 | |
Alanine transferase IU/L (0–41) | 42 | |
Creatinine mg/dL (0.67–1.17) | 1.05 | |
Blood urea nitrogen mg/dL (6–20) | 15.4 | |
Sodium mmol/L (136–145) | 130 | |
Potassium mmol/L (3.5–5.1) | 3.6 | |
Chloride mmol/L (98–107) | 96 | |
Dengue NS1 | Negative | |
Measles IgM | Positive | |
Measles IgG | Positive | |
Rubella IgM | Positive | |
Rubella IgG | Positive | |
Hepatitis B surface Ag | Negative | |
Anti-hepatitis B surface Ab | Positive | |
Anti-hepatitis C Ab | Negative | |
Anti-HIV Ag/Ab | Negative | |
RPR | Reactive | |
TPHA | Reactive | |
Blood culture | No growth | |
Stool culture | No growth |
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Imad, H.A.; Lakanavisid, P.; Pisutsan, P.; Trerattanavong, K.; Ngamprasertchai, T.; Matsee, W.; Piyaphanee, W.; Leaungwutiwong, P.; Nguitragool, W.; Nakayama, E.E.; et al. A Case Report of Secondary Syphilis Co-Infected with Measles: A Diagnostic Dilemma with Fever and Rash. Trop. Med. Infect. Dis. 2022, 7, 70. https://doi.org/10.3390/tropicalmed7050070
Imad HA, Lakanavisid P, Pisutsan P, Trerattanavong K, Ngamprasertchai T, Matsee W, Piyaphanee W, Leaungwutiwong P, Nguitragool W, Nakayama EE, et al. A Case Report of Secondary Syphilis Co-Infected with Measles: A Diagnostic Dilemma with Fever and Rash. Tropical Medicine and Infectious Disease. 2022; 7(5):70. https://doi.org/10.3390/tropicalmed7050070
Chicago/Turabian StyleImad, Hisham Ahmed, Ploi Lakanavisid, Phimphan Pisutsan, Kentaro Trerattanavong, Thundon Ngamprasertchai, Wasin Matsee, Watcharapong Piyaphanee, Pornsawan Leaungwutiwong, Wang Nguitragool, Emi E. Nakayama, and et al. 2022. "A Case Report of Secondary Syphilis Co-Infected with Measles: A Diagnostic Dilemma with Fever and Rash" Tropical Medicine and Infectious Disease 7, no. 5: 70. https://doi.org/10.3390/tropicalmed7050070