The organism Treponema pallidum causes syphilis, a chronic inflammatory disease. Secondary syphilis is distinguished by the appearance of a wart-like sore 2 to 6 weeks after the chancre forms and, in some cases, before the chancre heals. The presence of other systemic symptoms indicates that the infection has spread to other parts of the body. During the secondary stage, a person is highly contagious. A 38-year-old man presented at the outpatient department with complaints of fever, weight loss patchy hair loss, and sore throat for the past five weeks. Physical examination revealed diffuse lymphadenopathy, hepatosplenomegaly, and the presence of reddish wartlike sores over the glans penis. Blood investigations showed a positive venereal disease research laboratory (VDRL) test. Treponema pallidum particle agglutination assay (TP-PA) was positive for T.pallidum specific IgG antibody. For treatment, a stat dose of 2 g of Azithromycin was given orally and was advised for follow-up. Sexual contact of syphilis patients should be evaluated.

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Corresponding author
Surya Besant Natarajan, Department of Community Medicine, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education and Research, Chennai, India (suryauk4@gmail.com)