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Secondary Syphilis with Bone Involvement of the Skull: A Case Report
Herrera-Herrera I*, Escalona-Huerta C, Valle-Zapico JD, Montoya-Bordón J, Ordoñez-González C and Sobrino-Guijarro BDepartment of Radiology, University Hospital Fundación Jiménez Díaz, Madrid, Spain
- *Corresponding Author:
- Isabel Herrera-Herrera
Department of Radiology, University Hospital Fundación Jiménez Díaz
Madrid, Spain
Tel: +34-616318408
E-mail: isabel.herherrera@gmail.com
Received date: June 27, 2017; Accepted date: July 11, 2017; Published date: July 17, 2017
Citation: Herrera-Herrera I, Escalona-Huerta C, Valle-Zapico JD, Montoya-Bordón J, Ordoñez-González C, et al. (2017) Secondary Syphilis with Bone Involvement of the Skull: A Case Report. OMICS J Radiol 6:265. doi: 10.4172/2167-7964.1000265
Copyright: © 2017 Herrera-Herrera I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
A 40-year-old Human Immunodeficiency Virus (HIV) positive male consulted for headaches and a palpable lump on the scalp with laboratory findings relevant for increased acute phase reactants. Head CT and MR were performed, which showed temporal muscle and adjacent subcutaneous fat swelling, with underlying bone marrow edema and dural enhancement. A positive RPR test and further response to treatment for syphilis clinically confirmed secondary syphilis infection with bone and soft tissue involvement. Osseous involvement in secondary syphilis is relatively uncommon. It may be the first symptom of early-acquired syphilis and should be considered among the differential diagnoses for inflammatory lesions of the skull with overlying soft tissue swelling, especially in HIV positive patients.
