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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

Diagnostic Imaging

A case of secondary syphilis presenting as a multiple cavitated pulmonary lesion

Hidekazu Matsushima  Gen Kida  Tomotaka Nishizawa  Hideaki Yamakawa  Keiichi Akasaka  Masako Amano 

Department of Respiratory Medicine, Saitama Red Cross Hospital

ABSTRACT

A 44-year-old male diagnosed with secondary syphilis visited our department because of a chest imaging abnormality. Chest high resolution computed tomography (HRCT) findings revealed multiple cavitated tumor-like shadow and consolidation. Transbronchial lung biopsy from left B9 showed non-specific mild alveolar inflammation, while the result of bacterial examination by bronchial washing was all negative, free from mycobacteria and fungus. As a result of treatment with amoxicillin for 60 days, his symptoms and chest HRCT findings improved. According to Coleman’s diagnostic criteria, we concluded that his pulmonary lesion was due to syphilis. Syphilis should be considered as one possibility in the differential diagnosis of patients with cavitated pulmonary lesions.

KEYWORDS

Secondary syphilis  Pulmonary lesion  Cavity 

Received 24 Mar 2020 / Accepted 12 Jun 2020

AJRS, 9(5): 392-396, 2020

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