A rare case of neuro‐ and otosyphilis in secondary syphilis

Syphilis, caused by the bacteria Treponema pallidum subspecies pallidum, is an infectious disease transmitted through direct, most frequently sexual, contact with infected mucosal lesions. In the last two decades the numbers of cases reported to the Robert Koch Institute (RKI) increased from around 2000 cases in 2000 to 7889 cases in 20191 . Syphilis is much more common in men than in women. In 2018, only 6.1% of the reported cases in Germany and 14% in the USA were female patients1,2 .