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[Syphilitic arthro-osteitis].

J Blanch1, S Faus, J L Gimeno-Bayón

  • 1Servicios de Reumatología, Hospital del Mar, Facultad de Medicina, Universidad Autónoma, Barcelona.

Medicina Clinica
|April 7, 1990
PubMed
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Secondary syphilis can cause rare bone and joint inflammation, including sternoclavicular arthroosteitis. Spirochetes were found in biopsies, and treatment led to full recovery, highlighting syphilis as a differential diagnosis.

Area of Science:

  • Infectious Diseases
  • Rheumatology
  • Dermatology

Background:

  • Secondary syphilis is a systemic infection caused by Treponema pallidum.
  • Osteoarticular manifestations are uncommon during secondary syphilis.
  • Sexual promiscuity is a risk factor for syphilis acquisition.

Observation:

  • A patient presented with arthroosteitis of the clavicula and sternoclavicular joint, and cranial osteitis.
  • The patient had a history of sexual promiscuity.
  • Spirochetes were identified in osteoarticular biopsy material.

Findings:

  • The patient received treatment with benzathine penicillin for three weeks.
  • Complete clinical recovery was achieved.
  • This case highlights the uncommon osteoarticular involvement and the exceptional finding of spirochetes in biopsy during secondary syphilis.

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Implications:

  • Syphilis should be considered in the differential diagnosis of acute arthritis or osteitis.
  • Sternoclavicular joint involvement and a history of sexual promiscuity increase suspicion for syphilis.
  • Early diagnosis and treatment are crucial for favorable outcomes in syphilitic osteoarticular disease.