{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:11:04Z","timestamp":1777853464252,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2013,6,26]],"date-time":"2013-06-26T00:00:00Z","timestamp":1372204800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:p>\n                    A 44-year-old HIV-infected male, having a low CD4 count, was on antiretroviral therapy for the last 2 months, when he developed a skin rash. He gave a history of solitary unprotected extramarital sexual contact 6 months before onset of the rash. Dermatological examination revealed a bilaterally symmetrical, maculopapular erythematous rash involving the palms, forearms, and neck. He showed a positive sign of Buschke-Ollendorff. In the meanwhile, the CD4 count had improved to 196 cells\/mm\n                    <jats:sup>3<\/jats:sup>\n                    from the previous count of 92 cells\/mm\n                    <jats:sup>3<\/jats:sup>\n                    and the viral load had decreased. Serum venereal disease research laboratory (VDRL) test was reactor at 1:64. He was found to be positive result for treponema pallidum hemagglutination test. Skin biopsy revealed features of secondary syphilis. The rash responded well to a single injection of benzathine penicillin, resulting in the lowering of the VDRL titers. There was no evidence of neurosyphilis. This is a very rare instance of secondary syphilis manifesting as immune reconstitution syndrome in an HIV-positive patient.\n                  <\/jats:p>","DOI":"10.1177\/2325957413488833","type":"journal-article","created":{"date-parts":[[2013,6,27]],"date-time":"2013-06-27T00:35:55Z","timestamp":1372293355000},"page":"380-383","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["A Rare Case of Secondary Syphilis Manifesting as Immune Reconstitution Syndrome in an HIV-Positive Patient"],"prefix":"10.1177","volume":"12","author":[{"given":"Biju","family":"Vasudevan","sequence":"first","affiliation":[{"name":"Department of Dermatology, Command Hospital, Wanowrie, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Command Hospital, Wanowrie, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijendran","family":"Pragasam","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Command Hospital, Wanowrie, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ambresh","family":"Badad","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Command Hospital, Wanowrie, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debdeep","family":"Mitra","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Command Hospital, Wanowrie, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikram","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Command Hospital, Wanowrie, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,6,26]]},"reference":[{"key":"bibr1-2325957413488833","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(90)70153-9"},{"key":"bibr2-2325957413488833","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1993.00540030009006"},{"key":"bibr3-2325957413488833","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e3282f4a607"},{"key":"bibr4-2325957413488833","doi-asserted-by":"publisher","DOI":"10.1086\/383034"},{"key":"bibr5-2325957413488833","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000131375.21070.06"},{"key":"bibr6-2325957413488833","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2001.tb00107.x"},{"key":"bibr7-2325957413488833","doi-asserted-by":"publisher","DOI":"10.1097\/NEN.0b013e318181b4da"},{"key":"bibr8-2325957413488833","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2004.00871.x"},{"issue":"7","key":"bibr9-2325957413488833","first-page":"226","author":"Ceccarelli G","year":"2010","journal-title":"HAART and Correlated Pathologies"},{"key":"bibr10-2325957413488833","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2005.017863"}],"container-title":["Journal of the International Association of Providers of AIDS Care (JIAPAC)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2325957413488833","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2325957413488833","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2325957413488833","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:53:05Z","timestamp":1777503185000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2325957413488833"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,26]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.1177\/2325957413488833"],"URL":"https:\/\/doi.org\/10.1177\/2325957413488833","relation":{},"ISSN":["2325-9582","2325-9582"],"issn-type":[{"value":"2325-9582","type":"print"},{"value":"2325-9582","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,26]]}}}