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A case of secondary syphilis with pulmonary involvement and review of the literature.

Author information

Affiliations

  • 1. 1 Division of Infectious Diseases, Faculty of Medicine, Department of Medicine, Thammasat University, Pathumthani, Thailand.
      Authors
    • Visuttichaikit S 1
    • Apisarnthanarak A 1
    • Damronglerd P 1
    (3 authors)
  • 2. 2 Chulabhorn International College of Medicine, Thammasat University, Pathumthani, Thailand.
      Authors
    • Suwantarat N 2
    (1 author)

ORCIDs linked to this article

International Journal of STD & AIDS, 05 Apr 2018, 29(10):1027-1032
https://doi.org/10.1177/0956462418765834 PMID: 29621949 

Review

Abstract 

Syphilis is a sexually transmitted systemic infection caused by Treponema pallidum. We report a case of a heterosexual, HIV-positive man who presented with secondary syphilis and a lung abscess. A bacterial lung abscess was suspected and a computed tomography-guided percutaneous needle aspiration of the lung abscess was performed. Direct pulmonary involvement by T. pallidum was suggested by a positive PCR result on the aspirated fluid specimen. The clinical signs of secondary syphilis improved, and the lung abscess was resolved after treatment with benzathine penicillin G and amoxicillin-clavulanate. The final diagnosis was secondary pulmonary syphilis. Few reports of secondary syphilis with pulmonary involvement have been reported to date.

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Read article at publisher's site: https://doi.org/10.1177/0956462418765834

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