Secondary pulmonary syphilis: report of a likely case and literature review.

David, Gary; Perpoint, Thomas; Boibieux, André; Pialat, Jean-Baptiste; Salord, Hélène; Devouassoux, Modjgan; Chidiac, Christian; Peyramond, Dominique · Clin Infect Dis · 2006

case_report · Level V

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Abstract

We report the case of a homosexual, HIV-positive man with typical secondary syphilis and multiple excavated pulmonary subpleural nodules. Syphilis with direct pulmonary involvement was suggested by a positive result of PCR of a bronchoalveolar lavage fluid specimen, then confirmed by a positive therapeutic test result. Only 9 reports of pulmonary involvement in secondary syphilis have been reported to date in the English-language literature. Clinicians should be aware of this atypical localization of syphilis.

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