P236 A review of a year of new HIV diagnoses at a single centre – what can we learn? How people test, primary infection and hospitalisation

Sarah Cavilla, Daniel Richardson
2016 Sexually Transmitted Infections  
Results A 23 year Caucasian lady was referred to lymphoma clinic by her GP with a three month history of lymphadenopathy and fatigue. She was diagnosed with a primary CMV infection and lost to follow up after her symptoms resolved. One year later she attempted to donate blood. Positive syphilis serology with a low RPR was detected on routine blood screening by the transfusion service. The patient was referred to Bristol Sexual Health Centre where sexual history taking revealed she had a bi
more » ... l partner at the time of her illness who also tested positive for syphilis. An archived blood sample from the time of her illness revealed active syphilis infection with a high RPR. Discussion/conclusion Secondary syphilis can mimic numerous illnesses. However syphilis testing remains uncommon outside of sexual health clinics for a variety of reasons. A change of culture is required to ensure medical professionals are prepared for routine sexual enquiry and consider syphilis as a potential cause for lymphadenopathy.
doi:10.1136/sextrans-2016-052718.283 fatcat:hrhcnagw2va4vpbs2ovdfsdxmq