Fever, thoracic pain, skin lesions and Hampton hump

A chest X-ray showed opacity with fairly precise limits in the lower third of the left hemithorax similar to a Hampton hump, which consists of a shallow wedge-shaped opacity in the periphery of the lung with its base against the pleural surface, associated with diaphragmatic clamping ( figure 1 A-C)...

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Veröffentlicht in:Thorax 2014-09, Vol.69 (9), p.879-880
Hauptverfasser: Torres, Germana Rocha, Acar, Joana, Brito, Ana Carolina, Pimentel, Nelson, Polisseni, Nadja, Costa, Cláudia Henrique da, Rufino, Rogério
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container_end_page 880
container_issue 9
container_start_page 879
container_title Thorax
container_volume 69
creator Torres, Germana Rocha
Acar, Joana
Brito, Ana Carolina
Pimentel, Nelson
Polisseni, Nadja
Costa, Cláudia Henrique da
Rufino, Rogério
description A chest X-ray showed opacity with fairly precise limits in the lower third of the left hemithorax similar to a Hampton hump, which consists of a shallow wedge-shaped opacity in the periphery of the lung with its base against the pleural surface, associated with diaphragmatic clamping ( figure 1 A-C). Tertiary syphilis, characterised by chronic inflammation and progressive gumma, may develop years after the initial contact. 1 2 The criteria for secondary syphilis are: (1) physical examination findings typical of secondary syphilis; (2) positive serological test for syphilis; (3) pulmonary abnormalities seen radiographically with or without signs and associated with pulmonary symptoms; (4) exclusion of other lung diseases; and (5) response to treatment with disappearance of the radiological findings. 3 In this case, all stains to identify T pallidum were negative and the skin lesion resembled gummatous syphilis.
doi_str_mv 10.1136/thoraxjnl-2013-204913
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subjects Chest Pain - etiology
Disease
Female
Fever - etiology
Humans
Laboratories
Lung Diseases - diagnosis
Lung Diseases - microbiology
Lymphocytes
Middle Aged
Pain
Skin Diseases, Bacterial
Syphilis
Syphilis - complications
Syphilis - diagnosis
Syphilis, Cutaneous - pathology
title Fever, thoracic pain, skin lesions and Hampton hump
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