Secondary pulmonary syphilis: report of a likely case and literature review.
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.
David
Gary
G
Department of Infectious Diseases, Croix-Rousse University Hospital, Lyon, France. gary.david@chu-lyon.fr
Perpoint
Thomas
T
Boibieux
André
A
Pialat
Jean-Baptiste
JB
Salord
Hélène
H
Devouassoux
Modjgan
M
Chidiac
Christian
C
Peyramond
Dominique
D
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D010400:Penicillin G / Q000627:therapeutic use; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D013587:Syphilis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*
D000900:Anti-Bacterial Agents; D010400:Penicillin G