Primary syphilitic lesion on hard palate- A rare site
Syphilis is a sexually transmitted bacterial infection of the spirochete, Treponema pallidum. Infection is divided in three stages: primary, secondary, and tertiary. Approximately 2 to 3 weeks after inoculation of the organism, a primary lesion erupts as a painless papule that later ulcerates to form a chancre. This is a rare report of a primary syphilitic lesion located on the hard palate of the oral cavity, with only a very few cases described previously

A 59-year-old African American man presented to the emergency department with a 1-month history of progressive submental swelling, subjective fevers, and chills. A review of systems was positive for dysphagia, sore throat, and significant weight loss. He reported a history of genital herpes simplex virus (HSV) infection and explained that he developed a cluster of multiple small, painful blisters on his penis 2 weeks prior to presentation but denied any other new genital lesions.

Source: Journal of Medical Case Reports

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