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Secondary Syphilis.

Sarah Ehlers1, Shane Sergent1, John Ashurst1

  • 1Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona.

Clinical Practice and Cases in Emergency Medicine
|November 20, 2020
PubMed
Summary
This summary is machine-generated.

A case of secondary syphilis in a 40-year-old male presented with a diffuse rash, including palms and soles. Prompt diagnosis and intramuscular penicillin treatment are crucial for managing this sexually transmitted infection.

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Area of Science:

  • Infectious Diseases
  • Dermatology
  • Public Health

Background:

  • Secondary syphilis is a systemic infection that can manifest with a wide range of clinical presentations.
  • A characteristic sign of secondary syphilis is a maculopapular rash, frequently involving the palms and soles.

Purpose of the Study:

  • To report a case of secondary syphilis presenting to the emergency department.
  • To highlight the importance of recognizing and managing secondary syphilis in an emergency setting.

Main Methods:

  • A 40-year-old male presented with a diffuse body rash.
  • Clinical examination revealed a maculopapular rash on the palms and soles.
  • Diagnosis was confirmed by a positive rapid plasma reagin test.

Main Results:

  • The patient received a diagnosis of secondary syphilis.
  • Treatment consisted of 2.4 million units of benzathine penicillin G administered intramuscularly.

Conclusions:

  • Secondary syphilis requires prompt recognition and treatment, even when presenting atypically.
  • Emergency department management should include appropriate antibiotic therapy and counseling on mitigation strategies.