Ehlers Sarah, Sergent Shane, Ashurst John
Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):675-676. doi: 10.5811/cpcem.2020.7.48515.
A 40-year-old male presented the the emergency department (ED) due to a diffuse body rash after a sexual encounter. Examination revealed a maculopapular rash that included the palms and soles of the feet bilaterally. A rapid plasma reagin was positive, and the patient was treated with 2.4 million units of benzathine benzylpenicillin intramuscularly.
Secondary syphilis can mimic many disease processes but classically presents as a painless macular rash on the palms of the hands and soles of the feet. Diagnosis is based upon clinical examination coupled with serological testing. Emergency department management should include 2.4 million units of benzathine benzylpenicillin intramuscularly and mitigation strategies.
一名40岁男性在一次性接触后因全身弥漫性皮疹前往急诊科（ED）就诊。检查发现双侧手掌和脚底出现斑丘疹。快速血浆反应素试验呈阳性，该患者接受了240万单位苄星青霉素肌肉注射治疗。
二期梅毒可模仿多种疾病过程，但典型表现为手掌和脚底无痛性斑疹。诊断基于临床检查及血清学检测。急诊科处理应包括240万单位苄星青霉素肌肉注射及缓解策略。
