SK Sayal Military Hospital, Jalandhar Cantt
Source of Support: None, Conflict of Interest: None
ABSTRACT: Eight cases suffering from early syphilis admitted in a hospital for rheumatic complaints. Seven were male and one was female having 24 to 42 years of age. All males gave history of sexual exposures with prostitutes. Five patients did not develop primary chancre. All the patients had persistent low backache and pain in multiple large joints involving ankle, wrist, knee, elbow and shoulder, but small joints were not involved. Duration of symptoms have ranged from 10 days to 98 days. VDRL tests were reactor in all cases. Patients were treated with intramuscular injection of penicillin G sodium 1 mega unit (Mu) six hourly for 10 days followed by 2.4 Mu of benzathine penicillin once a week for two consecutive weeks. All the patients had an uneventful recovery and shown rapid regression of symptoms.