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...

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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
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cited_by cdi_FETCH-LOGICAL-c609t-bd9dc61fb254e950a5856463ee718198889fda0143605eecb0d74cdff5d71bd23
cites cdi_FETCH-LOGICAL-c609t-bd9dc61fb254e950a5856463ee718198889fda0143605eecb0d74cdff5d71bd23
container_end_page 126
container_issue 1
container_start_page 121
container_title Internal Medicine
container_volume 57
creator Ohta, Azusa
Furusyo, Norihiro
Kishihara, Yasuhiro
Eiraku, Kunimitsu
Murata, Masayuki
Kainuma, Mosaburo
Toyoda, Kazuhiro
Ogawa, Eiichi
Hayashi, Takeo
Koga, Tsunehisa
description 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.
doi_str_mv 10.2169/internalmedicine.8439-16
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subjects Amoxicillin
Case Report
Computed tomography
Exanthema
Internal medicine
Lungs
Minocycline
Pain
pulmonary involvement
secondary syphilis
Shadows
Syphilis
Thorax
Treponema pallidum
title Secondary Syphilis with Pulmonary Involvement
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