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Acute periostitis in early acquired syphilis simulating shin splints in a jogger
The American Journal of Sports Medicine
|July 1, 1986
Summary
Syphilis can cause acute periostitis in long bones, a rare sign in early acquired infections. This case highlights tibial periostitis mimicking shin splints in a jogger, emphasizing syphilis as a differential diagnosis.
Area of Science:
- Infectious Diseases
- Orthopedics
- Dermatology
Background:
- Syphilis, a sexually transmitted infection, can present with diverse clinical manifestations.
- Acute periostitis of long bones is an uncommon but recognized feature of early syphilis.
- Early diagnosis and treatment of syphilis are crucial to prevent long-term complications.
Observation:
- A jogger presented with acute, localized periostitis of the tibial shafts.
- Symptoms were initially misdiagnosed as medial tibial stress syndrome (shin splints).
- The patient was diagnosed with early acquired syphilis.
Findings:
- The tibial periostitis was confirmed as a manifestation of secondary syphilis.
- This case underscores the importance of considering syphilis in the differential diagnosis of bone pain.
- Prompt treatment led to symptom resolution.
Implications:
- Clinicians should consider syphilis in patients with unexplained bone pain, particularly periostitis.
- Raising awareness of this uncommon presentation can improve diagnostic accuracy for syphilis.
- Early recognition and management of syphilitic periostitis prevent potential sequelae.