Health
Doctor Reports Secondary Syphilis Case in HIV-Positive Patient
Dr. Manoon Leechawengwongs has highlighted a case of secondary syphilis in a 48-year-old HIV-positive man who had engaged in unprotected sexual activity.
On September 22, 2026, Dr. Manoon Leechawengwongs, a specialist at Vichaiyut Hospital, shared a medical case report regarding a 48-year-old Thai male patient. The patient, who has been living with HIV for 11 years and maintaining effective viral suppression through antiretroviral therapy, presented with red rashes on his torso, arms, and thighs.
According to the report published by Khaosod Online, the patient had engaged in unprotected sexual intercourse two months prior to the onset of symptoms. Clinical examination confirmed a diagnosis of secondary syphilis. The patient reported mild itching but did not exhibit a fever or oral lesions, and notably, no rashes were observed on his palms.
This case serves as a reminder for residents and travelers regarding the importance of safe sexual practices, even for individuals managing chronic conditions like HIV. While the patient’s HIV remains well-controlled, the acquisition of a secondary sexually transmitted infection highlights the ongoing risk of syphilis transmission. It remains to be confirmed if there are broader public health implications or a localized increase in similar cases. Individuals concerned about their sexual health are encouraged to consult with medical professionals for testing and guidance. This report is intended for informational purposes and does not constitute medical advice.