International Journal of STD & AIDS > Volume 17, Number 2 > Pp. 139-141

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Case reports

Pseudohepatic tumour associated with secondary syphilis in an HIV-positive male

Mrinalini Mahto, Faiyaz Mohammed, Ed Wilkins, John Mason, Najib Y Haboubi and Ali N Khan

Infectious Disease Unit and Radiology Unit, North Manchester General Hospital, Crumpsall, Manchester M8 5RB, UK; Department of Gastroenterology and Pathology, Trafford General Hospital, Moorside Rd, Manchester M41 5SL, UK; Infectious Disease Unit and Radiology Unit, North Manchester General Hospital, Crumpsall, Manchester M8 5RB, UK; Department of Gastroenterology and Pathology, Trafford General Hospital, Moorside Rd, Manchester M41 5SL, UK; Department of Gastroenterology and Pathology, Trafford General Hospital, Moorside Rd, Manchester M41 5SL, UK; Infectious Disease Unit and Radiology Unit, North Manchester General Hospital, Crumpsall, Manchester M8 5RB, UK

Inflammatory pseudohepatic tumours are unusual tumour-like conditions which can easily be mistaken for malignant lesions or liver abscesses. Patients usually present with fever, abdominal pain and loss of weight. The aetiology is unclear but the predominant inflammatory pattern of pathology and the associated systemic reactions suggest an underlying infectious agent. In the majority, microorganisms are not detected. As even routine imaging procedures usually fail to distinguish hepatic pseudotumours from liver neoplasms, biopsy is the definitive means of diagnosis. Until now, no case of pseudohepatic tumour has been reported as being associated with secondary syphilis. We believe secondary syphilis is the cause of this pseudohepatic tumour in our HIV-positive male.

Key Words: PSEUDOHEPATIC TUMOUR • SECONDARY SYPHILIS

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