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A case of pulmonary nodules in a patient living with HIV diagnosed with secondary syphilis
  1. Natasha Bell1,
  2. Margherita Bracchi2 and
  3. Anton Pozniak2,3
  1. 1Jefferiss Wing, St Mary's Hospital, London, UK
  2. 2HIV Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  3. 3London School of Hygiene & Tropical Medicine, London, UK
  1. Correspondence to Dr Natasha Bell; natasha.bell2{at}


We discuss a case of secondary syphilis with pulmonary involvement in a 45-year-old man who tested positive for HIV. He presented with dyspnoea, chest pain and a rash on his limbs and torso. A CT showed multiple bilateral necrotic lung nodules. A diagnosis of pulmonary syphilis was made due to his respiratory symptoms and imaging, his serological, histopathology findings, and the resolution of symptoms on treatment with benzathine penicillin.

  • HIV / AIDS
  • syphilis

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  • Contributors NB: Complied and written the report. MB: Reviewed and treated the patient and reviewed and modified the report. AP: Reviewed and treated the patient and reviewed and modified the report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.