# An Unusual Case of Syphilis With Pulmonary Involvement

## TL;DR

A 26-year-old HIV-positive woman presented with syphilis affecting her lungs, a rare occurrence.

## Contribution

This case report highlights the unusual pulmonary involvement in a syphilis patient with an HIV history.

## Key findings

- The patient had syphilis confirmed with pulmonary involvement.
- Thoracentesis was performed due to shortness of breath.
- The case emphasizes the rare lung manifestation of syphilis.

## Abstract

Syphilis can affect multiple organs in the secondary or tertiary stages of the disease. Recent reports have suggested an increase in the incidence of the disease. Involvement of the lung has been rarely described in syphilis. In this report, we discuss the case of a 26-year-old female with past medical history significant for HIV who presented to the hospital with complaints of shortness of breath and underwent thoracentesis; she was found to have syphilis with pulmonary involvement.