Secondary syphilis with pulmonary involvement mimicking lymphoma: a case report

Abstract We present a case of atypical presentation of secondary syphilis with extensive lymph node involvement and pulmonary lesions, initially suspected as lymphoma. The patient presented with weight loss, dry cough, chest pain, palpable lymph nodes in several peripheral chains, and multiple pulmo...

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Bibliographic Details
Published in:Revista da Sociedade Brasileira de Medicina Tropical
Main Authors: Kelwya Bruna Vasconcelos Florencio, Anderson Dias da Costa, Thaís Cabral de Melo Viana, Daniel Christiano de Albuquerque Gomes, Pedro Alves da Cruz Gouveia
Format: Article in Journal/Newspaper
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2019
Subjects:
Syphilis
Pulmonary lesions
Lymphoma
Arctic medicine. Tropical medicine
RC955-962
Arctic
Online Access:https://doi.org/10.1590/0037-8682-0044-2019
https://doaj.org/article/87ec0fff426b49c69098b78cd04a43f9
Description
Summary:Abstract We present a case of atypical presentation of secondary syphilis with extensive lymph node involvement and pulmonary lesions, initially suspected as lymphoma. The patient presented with weight loss, dry cough, chest pain, palpable lymph nodes in several peripheral chains, and multiple pulmonary nodules and masses on chest imaging. The key features for secondary syphilis diagnosis were a lymph node biopsy suggestive of reactive lymphadenopathy, positive serologic tests for syphilis, and complete recovery after antisyphilitic treatment.

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