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An Unusual Case of Syphilis With Pulmonary Involvement.
Hadia Arzoun1,2,3, Fawaz Mohammed4, Subha Saeed1
1Pulmonary and Critical Care Medicine, University of Kentucky College of Medicine, Bowling Green, USA.
Cureus
|August 5, 2024
Summary
Syphilis, a re-emerging infectious disease, can affect the lungs, a rare manifestation. This case highlights pulmonary syphilis in an HIV-positive patient presenting with shortness of breath.
Area of Science:
- Infectious Diseases
- Pulmonology
- Public Health
Background:
- Syphilis incidence is increasing globally.
- Syphilis can manifest in various organs during secondary and tertiary stages.
- Pulmonary involvement in syphilis is exceptionally rare.
Observation:
- A 26-year-old female with a history of HIV presented with acute shortness of breath.
- Diagnostic thoracentesis was performed due to respiratory distress.
- The patient was diagnosed with syphilis.
Findings:
- The syphilis diagnosis was confirmed in the context of pulmonary symptoms.
- This case represents a rare instance of lung involvement in syphilis.
- Co-infection with HIV may influence the presentation of syphilis.
Implications:
- Increased awareness of rare syphilis manifestations is crucial for clinicians.
- Pulmonary syphilis should be considered in the differential diagnosis of unexplained respiratory symptoms, especially in immunocompromised individuals.
- Further research is needed to understand the pathogenesis and clinical spectrum of pulmonary syphilis.
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