title: Secondary pulmonary syphilis: report of a likely case and literature review.
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.
authors.affiliation: Department of Infectious Diseases, Croix-Rousse University Hospital, Lyon, France. gary.david@chu-lyon.fr
authors.forename: Gary
authors.initials: G
authors.lastname: David
authors.forename: Thomas
authors.initials: T
authors.lastname: Perpoint
authors.forename: André
authors.initials: A
authors.lastname: Boibieux
authors.forename: Jean-Baptiste
authors.initials: JB
authors.lastname: Pialat
authors.forename: Hélène
authors.initials: H
authors.lastname: Salord
authors.forename: Modjgan
authors.initials: M
authors.lastname: Devouassoux
authors.forename: Christian
authors.initials: C
authors.lastname: Chidiac
authors.forename: Dominique
authors.initials: D
authors.lastname: Peyramond
mesh_terms: 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*
chemical_list: D000900:Anti-Bacterial Agents; D010400:Penicillin G