Background
Syphilis is a multisystemic infectious disease with various presentation
hence the designation “great imitator”. Even though renal involvement
is rare, there is increasing reports of various renal lesions due to
recent global resurgence of syphilis. Kidney involvement can be seen
during the primary, latent, and tertiary stages of syphilis [1].
Various types of glomerulonephritis have been described. Nephrotic range
proteinuria due to membranous nephropathy is the most common form. On
the other hand, rapidly progressive glomerulonephritis pattern is an
atypical and very rare presentation of syphilis, with only three case
reports [2-4]. We report a case of immunocompetent patient
presenting with hematuria, proteinuria and rapidly deteriorating renal
function suggestive of RPGN.