Syphilitica Roseola in HIV-Infected Patient

Syphilis roseola is the main symptoms of the secondary syphilis, in the form of multiple, asymptomatic, light pink erythema of 5 mm to 20 mm in diameter occur on the whole body surface, markedly on the palms and soles. The patient is a 29-years-old unmarried man with syphilis roseola and HIV. Venereal Disease Research Laboratory (VDRL) titer > 1: 64, and Treponemal Pallidum Haem agglutination (TPHA) titer > 1: 640. Viral load not detected, CD4 590 cells/µl. This patient received intramuscular single dose of 2.4 million units of Benzathine Penicillin G, a combination of Tenofovir 300 mg / 24 hours, Lamivudine 300 mg / 24 hours, Efavirens 600 mg / 24 hours and no topical therapeutic. After 6 months therapy improves generalist status, no skin lesions and CD4 repair to 630 cells / µl.