%0 Journal Article %A Natasha Bell %A Margherita Bracchi %A Anton Pozniak %T A case of pulmonary nodules in a patient living with HIV diagnosed with secondary syphilis %D 2021 %R 10.1136/bcr-2021-243765 %J BMJ Case Reports %P e243765 %V 14 %N 8 %X 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. %U https://casereports.bmj.com/content/bmjcr/14/8/e243765.full.pdf