Issues in Correctional HIV Care-Anorectal Syphilis

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					Issues in Correctional HIV Care-Anorectal Syphilis
Abe M Macher
American Jails; Nov/Dec 2008; 22, 5; Docstoc
pg. 73



				
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Description: Physical examination revealed an anal fistula and anal fissure. Since the patient failed to improve on conservative therapy, he was hospitalized for surgical excision of these lesions. A few weeks earlier, his CD4+ T lymphocyte count was 420 cells /uL, and serum VDRL was nonreactive. Because of the tenderness of the perianal ulcer, genital herpes simplex virus (HSV) infection was considered, and the patient was treated empirically with valaciclovir.
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