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二期梅毒伴发不常见并发症 1 例:梅毒性直肠炎、胃炎和肝炎。

Case of secondary syphilis presenting with unusual complications: syphilitic proctitis, gastritis, and hepatitis.

机构信息

Department of Infectious Diseases and Applied Immunology, Research Hospital of The Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo 108-8639, Japan.

出版信息

J Clin Microbiol. 2011 Dec;49(12):4394-6. doi: 10.1128/JCM.01240-11. Epub 2011 Oct 12.

Abstract

We report the first known case of syphilis with simultaneous manifestations of proctitis, gastritis, and hepatitis. The diagnosis of syphilitic proctitis and gastritis was established by the demonstration of spirochetes with anti-Treponema pallidum antibody staining in biopsy specimens. Unusual manifestations of secondary syphilis completely resolved after 4 weeks of antibiotic therapy.

摘要

我们报告了首例梅毒同时伴有直肠炎、胃炎和肝炎表现的病例。梅毒性直肠炎和胃炎的诊断通过活检标本中抗梅毒螺旋体抗体染色显示螺旋体得到确立。经过 4 周的抗生素治疗后,二期梅毒的不典型表现完全消退。

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引用本文的文献

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本文引用的文献

1
Diagnosis and management of autoimmune hepatitis.自身免疫性肝炎的诊断与管理
Hepatology. 2010 Jun;51(6):2193-213. doi: 10.1002/hep.23584.
3
Syphilitic hepatitis among HIV-infected patients.HIV感染患者中的梅毒性肝炎
Int J STD AIDS. 2009 Apr;20(4):278-84. doi: 10.1258/ijsa.2008.008324.
4
Sexually transmitted proctitis.性传播性直肠炎
Postgrad Med J. 2006 Nov;82(973):733-6. doi: 10.1136/pmj.2006.048488.
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The liver in secondary syphilis.二期梅毒中的肝脏。
South Med J. 1982 Sep;75(9):1136-8. doi: 10.1097/00007611-198209000-00031.

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