Secondary Syphilis with Pulmonary Involvement

Azusa Ohta; Norihiro Furusyo; Yasuhiro Kishihara; Kunimitsu Eiraku; Masayuki Murata; Mosaburo Kainuma; Kazuhiro Toyoda; Eiichi Ogawa; Takeo Hayashi; Tsunehisa Koga

doi:10.2169/internalmedicine.8439-16

CASE REPORTS

Secondary Syphilis with Pulmonary Involvement

Azusa Ohta, Norihiro Furusyo, Yasuhiro Kishihara, Kunimitsu Eiraku, Masayuki Murata, Mosaburo Kainuma, Kazuhiro Toyoda, Eiichi Ogawa, Takeo Hayashi, Tsunehisa Koga

Author information

Azusa Ohta
Department of General Internal Medicine, Kyushu Central Hospital, Japan
Department of General Internal Medicine, Kyushu Medical Center, National Hospital Organization, Japan
Norihiro Furusyo
Department of General Internal Medicine, Kyushu University Hospital, Japan
Yasuhiro Kishihara
Department of General Internal Medicine, Kyushu Medical Center, National Hospital Organization, Japan
Kunimitsu Eiraku
Department of General Internal Medicine, Kyushu Medical Center, National Hospital Organization, Japan
Masayuki Murata
Department of General Internal Medicine, Kyushu University Hospital, Japan
Mosaburo Kainuma
Department of General Internal Medicine, Kyushu University Hospital, Japan
Kazuhiro Toyoda
Department of General Internal Medicine, Kyushu University Hospital, Japan
Eiichi Ogawa
Department of General Internal Medicine, Kyushu University Hospital, Japan
Takeo Hayashi
Department of General Internal Medicine, Kyushu University Hospital, Japan
Tsunehisa Koga
Department of General Internal Medicine, Kyushu Central Hospital, Japan

Keywords: secondary syphilis, Treponema pallidum, pulmonary involvement

JOURNAL OPEN ACCESS

2018 Volume 57 Issue 1 Pages 121-126

DOI https://doi.org/10.2169/internalmedicine.8439-16

Browse “Advance online publication” version

Details

Abstract

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.

Corresponding author

Register with J-STAGE for free!