Case Report An 81 years old male presented with complaints of nasal discharge and crusting for 3 years, anosmia for 1 year and nasal deformity since 6 months. [peertechzpublications.com]

• Cough

  The patient, however, denied any complaint of trauma to nose, cough, chest pain, dyspnoea, hematuria, sexual promiscuity (last sexual contact with wife 15-20 years back), anaesthetic skin patches, raised lesions on skin, joint pains, redness or swelling [peertechzpublications.com]

• Skin Lesion

  The patient, however, denied any complaint of trauma to nose, cough, chest pain, dyspnoea, hematuria, sexual promiscuity (last sexual contact with wife 15-20 years back), anaesthetic skin patches, raised lesions on skin, joint pains, redness or swelling [peertechzpublications.com]

• Treponema Pallidum

  Discussion Syphilis is a systemic disease caused by the spirochete Treponema pallidum [1]. It occurs exclusively in humans; there is no animal reservoir [2]. Approximately 90% of all syphilis is sexually transmitted. [peertechzpublications.com]

The treatment plan for syphilis remains relatively unchanged in recent years and continues to vary with stage of infection. [peertechzpublications.com]

The patient was evaluated as a case of Secondary atrophic rhinitis with the goal to arrive at the etiology. [peertechzpublications.com]

The purpose of local treatment is to remove the discharge and crusts, kill spirochetes, promote wound healing and epithelial growth, prevent secondary infection. [peertechzpublications.com]