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{
    "pk": 947,
    "title": "Secondary Syphilis",
    "subtitle": null,
    "abstract": "Case Presentation:\n A 40-year-old male presented the the emergency department (ED) due to a diffuse body rash after a sexual encounter. Examination revealed a maculopapular rash that included the palms and soles of the feet bilaterally. A rapid plasma reagin was positive, and the patient was treated with 2.4 million units of benzathine benzylpenicillin intramuscularly.\nDiagnosis:\n Secondary syphilis can mimic many disease processes but classically presents as a painless macular rash on the palms of the hands and soles of the feet. Diagnosis is based upon clinical examination coupled with serological testing. Emergency department management should include 2.4 million units of benzathine benzylpenicillin intramuscularly and mitigation strategies.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Syphilis"
        },
        {
            "word": "secondary syphilis"
        }
    ],
    "section": "ACOEP Images in Emergency Medicine (by Invitation Only)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8mw6d8v6",
    "frozenauthors": [
        {
            "first_name": "Sarah",
            "middle_name": "",
            "last_name": "Ehlers",
            "name_suffix": "",
            "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona",
            "department": "None"
        },
        {
            "first_name": "Shane",
            "middle_name": "",
            "last_name": "Sergent",
            "name_suffix": "",
            "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "",
            "last_name": "Ashurst",
            "name_suffix": "",
            "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-21T09:50:56+11:00",
    "date_accepted": "2020-10-21T09:50:56+11:00",
    "date_published": "2020-10-21T09:51:49+11:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/947/galley/695/download/"
        }
    ]
}