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Howard Heller, MD; Frank Fromowitz, MD; Jack Fuhrer, MD

Arch Otolaryngol Head Neck Surg. 1992;118(7):757-758.

Abstract
• The clinical course of syphilis may be altered in some patients with human immunodeficiency virus type 1 infection. We report two cases of syphilis in patients with human immunodeficiency virus type 1 infection who presented with marked unilateral anterior cervical adenopathy after engaging in oral-genital sex. Neither of the patients had evidence of oropharyngeal chancres. One patient developed a cutaneous rash of secondary syphilis soon after the cervical adenopathy developed. Both patients responded well to antibiotic therapy.

(Arch Otolaryngol Head Neck Surg. 1992;118:757-758)

Author Affiliations
From the Infectious Disease Unit, Massachusetts General Hospital, Boston (Dr Heller), and the Department of Pathology (Dr Fromowitz) and the Division of Infectious Diseases, Department of Medicine (Dr Fuhrer), The State University of New York at Stony Brook.

Footnotes
Accepted for publication March 11, 1992.

Reprint requests to the Infectious Disease Unit, Massachusetts General Hospital, Gray 5, Fruit Street, Boston, MA 02114 (Dr Heller).

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