SYPHILITIC HEPATITIS WITH UNUSUAL CONCOMITANT MANIFESTATIONS: REPORT OF TWO CASES

The 2 cases of syphilitic hepatitis here reported presented some unusual features, particularly the occurrence of a gumma of a bronchus in one and of pleurisy with effusion in the other. In the second case symptoms referable to the abdomen were severe enough to lead to exploratory laparotomy, and in both the fever, as often happens, was at first something of a puzzle. REPORT OF CASES Case1.—A 28 year old East Indian ship's fireman was first admitted to the urologic service1 of the Long Island College Hospital on April 8, 1942, with the chief complaint of a penile sore. He had last had sexual intercourse one month before admission. Two weeks later he noticed several sores on his penis and pubic region, and five days before admission he observed a swelling in his right groin. Physical examination showed in the pubic region several small indurated ulcers, 0.5