Reached multifocal secondary syphilis: A case presentation

F Campana , F Carvelli (1) , J. C. Fricain (2) , Béatrice Vergier (3, 4) , F Boralevi (5) , G Kaplanski (6, 7, 8)

1 Médecine interne et immunologie clinique [Hôpital de la Conception - APHM]
2 Hôpital Pellegrin
3 Physiopathologie du cancer du foie
4 Service de pathologie [Bordeaux]
5 Dermatologie pédiatrique - Bordeaux
6 Laboratoire d'Immunologie [Hôpital de la Conception - APHM]
7 Physiopathologie de l'Endothelium
8 VRCM - Vascular research center of Marseille

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

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.

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.

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

Domaines: Sciences du Vivant [q-bio]

F Campana, F Carvelli, J. C. Fricain, Béatrice Vergier, F Boralevi, et al.. Reached multifocal secondary syphilis: A case presentation. Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale, 2016, 117, pp.104-107. ⟨hal-01466481⟩