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Vol. 13. Issue 5.
Pages 737-740 (September - October 2007)
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Vol. 13. Issue 5.
Pages 737-740 (September - October 2007)
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Secondary syphilis with pulmonary involvement: Report of a case with emphasis to the high-resolution CT and magnetic resonance findings
Sífilis secundária com comprometimento pulmonar: Relato de um caso com ênfase nos achados de tomografia computadorizada e ressonância magnética
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José Alves Rocha-Filho1,6,7,8, Emerson L. Gasparetto2,6,7,8, Ederson Valei Lopes de Oliveira3,6,7,8, Arthur Soares Souza Jr4,6,7,8, Edson Marchiori5,6,7,8,
Corresponding author
edmarchiori@bol.com.br

Correspondência: Edson Marchiori – Rua Thomaz Cameron, 438. Valparaiso. CEP 25685.120, Petrópolis. Rio de Janeiro . Brasil.
1 Médico Residente do Departamento de Radiologia da Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brasil
2 Adjunto de Radiologia da Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brasil
3 do Serviço de Dermatologia da Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brasil
4 Adjunto de Radiologia da Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brasil
5 Titular e Chefe do Departamento de Radiologia da Universidade Federal Fluminense (UFF). Coordenador Adjunto do Curso de Pós Graduação em Radiologia da UFRJ, Rio de Janeiro, Brasil
6 Departamento de Radiologia da Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, Brasil (JARF, ASSJ, EVLO), e Departamento de Radiologia da Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brasil (ELG, EM)
7 Departamento de Radiologia do Hospital Universitário Clementino Fraga Filho (HUCFF), da Universidade Federal do Rio de Janeiro (UFRJ). Director : Prof. Hilton Koch. Av. Brigadeiro Trompowsky, s/n. Ilha do Fundão. Rio de Janeiro, Brasil
8 Departamento de Radiologia do Hospital de Base da Faculdade de Medicina de São José do Rio Preto (FAMERP). Director: Prof. Arthur Soares Sousa Jr. Rua Cila, 3033. Redentora. São José do Rio Preto. São Paulo, Brasil
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Article information
Abstract

A 37-year-old man presented with thoracic pain and fever. The physical examination showed reddish skin lesions. He was investigated with radiography, highresolution computed tomography and magnetic resonance of the chest, which revealed multiple small and large nodules with random distribution, mostly in the lower lungs zones. Biopsies of lung and skin lesions was performed and the diagnosis of secondary syphilis was defined. Other laboratories tests (venereal di sease laboratory and FtA-abs) corroborated the diagnosis. The patient was treated with penicillin, and the pulmonary and skin lesions regressed in the followup examinations.

Key-word:
Pulmonary syphilis
high-resolution CT
magnetic resonance imaging
Resumo

Doente do sexo masculino, 37 anos, apresentando-se com dor torácica e febre. O exame físico mostrou lesões de pele, avermelhadas. Foi investigado com radiografias do tórax, tomografia computadorizada e ressonância magnética do tórax, que revelaram múltiplos nódulos, grandes e pequenos, com distribuição randómica, predominando nas regiões inferiores dos pulmões. Biópsias do pulmão e de lesão de pele foram realizadas e o diagnóstico de sífilis secundária foi definido. Outros testes laboratoriais (VDRL e FtA-abs) confirmaram o diagnóstico. O doente foi tratado com penicilina, e as lesões pulmonares e de pele regrediram nos exames de controlo.

Palavras-chave:
Sífilis pulmonar
tomografia computadorizada de alta resolução
ressonância magnética
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Copyright © 2007. Sociedade Portuguesa de Pneumologia
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