[Skip to Content]
[Skip to Content Landing]
March 18, 1916


JAMA. 1916;LXVI(12):887-888. doi:10.1001/jama.1916.02580380037016

Accidental extragenital infection from syphilis is not a rare condition, and cases are reported from time to time in medical journals. My only excuse for reporting the following case is once more to remind the physician of the need for greater care in protecting himself from infection.

This patient proves one other important fact, that since the introduction of serodiagnosis for syphilis, many totally unsuspected cases of syphilitic disease are being brought to light. Most of these cases doubtless are the result of genital infection in which the initial lesion was so insignificant that it wholly escaped observation by the patient. It is reasonable to suppose, however, that many arise from extragenital infections of which the patient is wholly innocent as well as ignorant until some late manifestation of the disease appears.

This patient also illustrates the falsity of Colles' law that, owing to a sort of protective vaccination through