Secondary syphilis with pulmonary involvement: Report of a case with emphasis to the high-resolution CT and magnetic resonance findings

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.

ResumoDoente 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.