Secondary syphilis: clinical case report

Syphilis is an infectious disease caused by the bacteria Treponema pallidum. The main form of transmission is through unprotected sexual intercourse. Genitals are the primary site of infection, but oral manifestations can be observed in the primary and secondary stages of the disease. A woman, mixed race, 35 years old, sought the Basic Health Unit complaining of stains in her mouth, body pain, and malaise. On clinical examination, bilateral cervical lymphadenopathy and maculopapular plaques, grayish and with red edges, were observed on the labial mucosa. Rapid Syphilis and HIV tests were carried out with a positive result for Syphilis, with a positive VDRL. Faced with the secondary phase of syphilis, guidance was adopted and referral to the team nurse who prescribed benzathine penicillin for 2 weeks, subsequently remission of the lip lesions. The dentist is essential in diagnosing syphilis, as the oral mucosa manifests lesions caused by the disease.