Heijstek M W, Goslings W R O, Shamelian S
Jeroen Bosch Ziekenhuis, locatie Carolus, Hertogenbosch.
Ned Tijdschr Geneeskd. 2006 Jun 17;150(24):1342-6.
A man aged 30 had been suffering from episodes of fever for several weeks. He had diarrhoea and had developed generalized maculopapular exanthema that also affected the palms of his hands and soles of his feet. After viral causes were excluded the symptoms proved to be caused by syphilis. His condition was complicated by uveitis. The patient recovered after a single dose of benzyl penicillin and local mydratics and corticosteroid eye drops. The incidence of syphilis is rising and its clinical spectrum is broad. Therefore in patients with fever and exanthema of unknown origin this disease should be considered. One should be aware of the wide variety of complications that can result from syphilis.
一名30岁男性持续数周发热。他有腹泻症状，全身出现斑丘疹，手掌和脚底也受影响。排除病毒病因后，症状被证实由梅毒引起。他的病情因葡萄膜炎而复杂化。患者在接受单剂量苄星青霉素以及局部散瞳剂和皮质类固醇眼药水治疗后康复。梅毒的发病率正在上升，其临床谱广泛。因此，对于不明原因发热和皮疹的患者，应考虑此病。应意识到梅毒可能导致的各种并发症。
