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December 1961

Syphilitic Gumma of the Lung

Author Affiliations


From the Chest Department, Michael Reese Hospital and The Chicago Medical School.; Formerly Resident in Medicine, Michael Reese Hospital, current address: Albuquerque, N.M. (Dr. Danemann); formerly Resident in Medicine, Michael Reese Hospital, Clinical Instructor in Medicine, Chicago Medical School (Dr. Cohen); Assistant Director, Chest Department, Michael Reese Hospital, Associate Professor of Medicine, Chicago Medical School (Dr. Snider).

Arch Intern Med. 1961;108(6):897-902. doi:10.1001/archinte.1961.03620120081011

Few of us today would consider syphilis as a diagnostic possibility when approaching the problem of a pulmonary lesion. It is the purpose of this communication to present a case of gumma of the lung which was diagnosed as a result of a thoracotomy for a suspected neoplasm.

Report of a Case  A 70-year-old white man was admitted to the Urology Service of Michael Reese Hospital on Sept. 14, 1958, complaining of nocturia, dysuria, urgency, and a slow urinary stream. A diagnosis of benign prostatic hypertrophy was made, but a routine admission survey chest x-ray revealed a large left upper lung field mass. In view of this latter finding, he was transferred to the Chest Service for further study. Additional history revealed a weight loss of 65 lb. over 3 years, intermittent wheezing respirations for 1 year, a daily cough productive of a small amount of clear sputum, and exertional

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