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老年住院患者梅毒血清学检测阳性的患病率。

The prevalence of positive serological tests for syphilis among elderly hospital patients.

作者信息

Corrado O J, Bowie P C, Bagnall W E, Waugh M A

机构信息

Medical Department for the Elderly, Chapel Allerton Hospital, Leeds.

出版信息

Age Ageing. 1989 Nov;18(6):407-10. doi: 10.1093/ageing/18.6.407.

DOI:10.1093/ageing/18.6.407
PMID:2629490
Abstract

Serological tests for syphilis were performed on 659 elderly patients admitted to hospital medical and psychiatric departments. Positive tests were found in 23 patients (3.5% of the sample), 17 women and 6 men. Six were subsequently discovered to have been treated previously for syphilis, and one other had radiological evidence to suggest that she had been treated with bismuth in the pre-penicillin era. Difficulties were encountered in classifying the stage of infection in some patients, particularly those with significant intellectual impairment. Eleven were diagnosed as late latent syphilis, seven as probable late latent syphilis, one as tabes dorsalis, one as possible cardiovascular syphilis, one as possible meningovascular syphilis, and one as late congenital syphilis.

摘要

对659名入住医院内科和精神科的老年患者进行了梅毒血清学检测。检测结果呈阳性的有23例患者(占样本的3.5%),其中女性17例,男性6例。随后发现6例曾接受过梅毒治疗,另有1例有放射学证据表明她在青霉素时代之前曾接受过铋剂治疗。在对一些患者,特别是有明显智力障碍的患者进行感染阶段分类时遇到了困难。11例被诊断为晚期潜伏梅毒,7例为可能的晚期潜伏梅毒,1例为脊髓痨,1例为可能的心血管梅毒,1例为可能的脑膜血管梅毒,1例为晚期先天性梅毒。

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