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Case report of secondary syphilis in a fifteen year old boy

Authors:

PJ Perera ,

Faculty of Medicine, University of Kelaniya, LK
About PJ
I am a consultant Paediatrician/senior Lecturer attached to faculty of Medicine Ragama. I have up to now 26 papers published in local and international journals. My research interests are Growth and development, Immunization, nutrition.
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HP Perera

National sexually transmitted disease / AIDS control programme, LK
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Abstract

Syphilis is a sexual transmitted infection caused by a spirochete, Treponema pallidum. We report a case of a fifteen-year-old boy with secondary syphilis. A boy from a poor socioeconomic background presented with a non-healing growth on his penis of about one-month duration. On examination, a condylomata lata was found on the inner aspect of the prepuce, which is a clinical feature of secondary syphilis. He had generalized lymphadenopathy, but had no other clinical features of secondary syphilis.  His Venereal Disease Research Laboratory (VDRL) test titre was reactive at 1:128. The Treponema Pallidum Particle Agglutination (TPPA) test was strongly positive, confirming the diagnosis of a treponemal infection. The recommended treatment of a single dose of benzathine penicillin, 2.4 million units was administered intramuscularly. He did not develop a Jarisch–Herxheimer reaction.  The lesion on his penis healed within a week of treatment. Follow up VDRL titres were 1:8, 1:4, 1:2 and non-reactive at three months, six months, one year and two years, respectively. Though this was clearly a case of child sexual abuse, the legal system could not be activated because the child categorically denied being abused or having any form of sexual contact.
How to Cite: Perera, P. & Perera, H., (2018). Case report of secondary syphilis in a fifteen year old boy . Sri Lankan Journal of Infectious Diseases . 8 ( 1 ) , pp . 55–58 . DOI: http://doi.org/10.4038/sljid.v8i1.8189
Published on 06 May 2018.
Peer Reviewed

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