Description
Outcome
His syphilis serology was positive
Initial IgG ELISA test positive
TPHA positive
IgM positive and RPR (128) positive
confirm recent infection
All other screening tests (including viral hepatitis
and HIV test) were unremarkable, hence a diagnosis
of secondary syphilis causing hepatitis was made.
Further examination revealed a healing chancre
on the shaft of his penis and pustules around the
anu

