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Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2007;161(2):200.
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Denouement and Discussion: Acquired Secondary Syphilis
Treponemal and nontreponemal test results confirmed the suspicion of acquired secondary syphilis. On further questioning, the patient disclosed unsafe sexual activity and a history of gonococcal infection 6 months earlier, treated with ceftriaxone and doxycycline. He did not have antibodies to human immunodeficiency virus. He was treated with an intramuscular injection of 2.4 million units of benzathine penicillin. Clinical improvement and a decrease of serologic titers were noted during the follow-up.
CAUSE
Syphilis is a worldwide chronic infectious disease caused by the spirochete Treponema pallidum. Although rates of syphilis infection reached a nadir in 2000, an upward trend in incidence has been recently described in different countries.1-2
CLINICAL FEATURES
Four stages of syphilis are described.3 The first stage develops after an incubation period of 21 days as a nontender, indurated, nonpurulent ulcer at the site of inoculation: the chancre. The chancre may go unnoticed, especially when it is located on the cervix, . . . [Full Text of this Article] DIAGNOSIS MANAGEMENT
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Picture of the Month—Quiz Case
Marta Ferran, Gemma Martin-Ezquerra, Asunción Vicente, Antoni Noguera, Laia Alsina, and M. Antonia Gonzalez-Enseñat
Arch Pediatr Adolesc Med. 2007;161(2):199.
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