An Emergency Division Presentation of Secondary Syphilis.
Mil Med. 2018 Mar 14;:
Authors: Sarkisian SA, Brillhart D
In america, the speed of main and secondary syphilis has elevated by 18% in 2016, the very best fee since 1993. These sufferers can usually current to the emergency division (ED) in varied levels. Though syphilis is effectively described within the literature, there’s a paucity of ED experiences of atypical instances. A 22-yr-old male offered to the ED complaining of neck ache. The affected person was discovered to have right-sided tender cervical lymphadenopathy inflicting neck ache. An intensive bodily examination revealed diffuse lymphadenopathy. With out an apparent infectious etiology, the affected person underwent a broad workup, which revealed a reactive speedy plasma reagin (RPR) assay with a titer of 1:64. The affected person had no historical past of the basic painless penile ulcer. The ED presentation of secondary syphilis may be very insidious, and physicians ought to concentrate on its varied shows.
PMID: 29547908 [PubMed – as supplied by publisher]