Benainous Ruben, Alunji Mohanad, Brillet Pierre-Yves, Dhote Robin
Sorbonne Paris Nord University, Service de Médecine Interne, Hôpital Avicenne, Bobigny, France.
Sorbonne Paris Nord University, Service de Dermatologie, Hôpital Avicenne, Bobigny, France.
Eur J Case Rep Intern Med. 2021 Jul 19;8(7):002487. doi: 10.12890/2021_002487. eCollection 2021.
In secondary syphilis, can spread to the lungs. A new case is described of a patient with multiple excavated subpleural pulmonary nodules, a rare localization of secondary syphilis. Despite the numerous pulmonary samples analysed in the literature, is rarely visualised directly on bronchial fibroscopy or biopsy. The diagnosis of secondary syphilis is suspected from historical and physical findings and confirmed by high values obtained from non-treponemal tests.
The clinical and radiological presentation of pulmonary involvement in secondary syphilis is non-specific, described as solitary or multiple subpleural nodular opacities that are rarely infiltrating.We confirm here that for this localization, biopsy of these nodules is not necessary for diagnosis.
在二期梅毒中，[疾病相关内容]可扩散至肺部。本文描述了一例新病例，患者有多个肺胸膜下空洞性结节，这是二期梅毒的一种罕见定位表现。尽管文献中分析了大量肺部样本，但[疾病相关内容]在支气管纤维镜检查或活检中很少能直接观察到。根据病史和体格检查结果怀疑为二期梅毒，并通过非梅毒螺旋体试验获得的高值得到确诊。
二期梅毒肺部受累的临床和放射学表现不具特异性，描述为孤立或多个胸膜下结节状混浊，很少有浸润表现。我们在此确认，对于这种定位情况，诊断这些结节时无需进行活检。
