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INTRODUCTION Syphilis is a sexually transmitted infection caused by the spirochete, Treponema pallidum. Involvement of the lung and pleura is uncommon, though rare pulmonary manifestations of secondary and tertiary syphilis have been described in case reports with the diagnosis based on clinical suspicion.1-5 We report a case of a Caucasian male in his twenties with known secondary syphilis and confirmed syphilitic pleural effusion on pleural fluid analysis.
INTRODUCTION Pleural effusions affect 60,000 Australians every year and can arise from a wide range of causes including cancer, heart and liver failure. Pleural effusions often cause disabling breathlessness. Drainage of the fluid can relieve symptoms, but the benefits vary among patients. The mechanism by which pleural effusion causes breathlessness remains unclear.
Picture an average winter morning. You eat breakfast, get bundled up and begin your journey to wherever you need to be. Everything is great — until your journey is over before it even began. You will not be going anywhere due to the uncleared, snow-covered sidewalks preventing you from even reaching the street. What's worse is that the snow is from three days ago. This scenario is a reality facing untold Hamiltonians every snowstorm.
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