[Reached multifocal secondary syphilis: A case presentation]

Rev Stomatol Chir Maxillofac Chir Orale. 2016 Apr;117(2):104-7. doi: 10.1016/j.revsto.2016.01.015. Epub 2016 Mar 7.
[Article in French]

Abstract

Introduction: Syphilis is a sexually transmitted infection (STI) related to Treponema pallidum. Secondary syphilis is the blood-borne systemic spread of Treponema.

Observation: We report the case of secondary syphilis in a patient without risk of STIs factor. The clinical picture began with a genital affection followed by oral erosions and ulcers and an anterior and then posterior uveitis. Serology established the diagnosis and intravenous penicillin G treatment allowed for healing.

Discussion: Called the "great pretender" because of its clinical polymorphism, secondary syphilis can lead to formidable neurological and ophthalmological complications. Serological diagnosis is based on the use of treponemal and a nontreponemal tests. Penicillin G remains the treatment of choice and must be adapted according to the clinical damage.

Keywords: Exanthema; Exanthème; Penicillin; Pénicilline; Syphilis; Syphilis serodiagnosis; Sérodiagnostic de la syphilis; Ulcer; Ulcération; Uveitis; Uvéite.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Female
  • Humans
  • Mouth Diseases / microbiology
  • Mouth Diseases / pathology*
  • Palate, Hard / microbiology
  • Palate, Hard / pathology*
  • Syphilis / pathology*
  • Treponema pallidum / isolation & purification

Supplementary concepts

  • Syphilis, secondary