“…4−6 Most cases of tertiary syphilis in the literature were definitively diagnosed by pathological findings of tracheobronchial syphilis, luetic pneumonia or typical gummata (syphilitic granulomas), and the absence of acid-fast bacilli on autopsy or following lobectomy or pneumonectomy. 4,5,7 The clinical presentation of pulmonary syphilis varies and includes cough, hemoptysis, dyspnea and chest pain. Some patients have no respiratory symptoms.…”