Secondary Syphilis with Pulmonary Involvement

A 39-year-old Japanese man presented to our hospital complaining of left chest pain and rash on the hands and feet. Plain thoracic computed tomography (CT) revealed multiple nodular shadows in the left lower lobe of the lung. A diagnosis of secondary syphilis was made based on the appearance of the...

Full description

Saved in:
Bibliographic Details
Published in:Internal Medicine 2018/01/01, Vol.57(1), pp.121-126
Main Authors: Ohta, Azusa, Furusyo, Norihiro, Kishihara, Yasuhiro, Eiraku, Kunimitsu, Murata, Masayuki, Kainuma, Mosaburo, Toyoda, Kazuhiro, Ogawa, Eiichi, Hayashi, Takeo, Koga, Tsunehisa
Format: Article
Language:English
Subjects:
Amoxicillin
Case Report
Computed tomography
Exanthema
Internal medicine
Lungs
Minocycline
Pain
pulmonary involvement
secondary syphilis
Shadows
Syphilis
Thorax
Treponema pallidum
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 39-year-old Japanese man presented to our hospital complaining of left chest pain and rash on the hands and feet. Plain thoracic computed tomography (CT) revealed multiple nodular shadows in the left lower lobe of the lung. A diagnosis of secondary syphilis was made based on the appearance of the rash and positive serologic tests for syphilis. The patient was started on amoxicillin but was switched to minocycline due to amoxicillin-induced rash on both forearms. Thoracic CT after five months of treatment revealed that the multiple lung nodular shadows had contracted, and secondary syphilis with pulmonary involvement was diagnosed.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.8439-16