Patient Encounter 2

KG is an HIV-positive male who complains of the appearance of a "sore" on his penis. He reports having unprotected sexual intercourse with another male approximately 5 to 7 days prior to the appearance of the lesion. He denies pain or itching at the site of the lesion, dysuria, or frequent urination. Additionally, there appears to be no vesicles in the genital area.

What information is suggestive of syphilis? What potential risk factors for STIs are present?

How should the diagnosis of syphilis be confirmed in this patient?

If the diagnosis of syphilis is confirmed, what therapeutic options exist for this patient?

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