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[进展为多灶性二期梅毒:病例报告]

[Reached multifocal secondary syphilis: A case presentation].

作者信息

Campana F, Carvelli J, Fricain J C, Vergier B, Boralevi F, Kaplanski G

机构信息

Centre Massilien de la face, 24, avenue du Prado, 13006 Marseille, France.

Service de médecine interne, Assistance publique-Hôpitaux de Marseille, hôpital de la Conception, 13005 Marseille, France.

出版信息

Rev Stomatol Chir Maxillofac Chir Orale. 2016 Apr;117(2):104-7. doi: 10.1016/j.revsto.2016.01.015. Epub 2016 Mar 7.

Abstract

INTRODUCTION

Syphilis is a sexually transmitted infection (STI) related to Treponema pallidum. Secondary syphilis is the blood-borne systemic spread of Treponema.

OBSERVATION

We report the case of secondary syphilis in a patient without risk of STIs factor. The clinical picture began with a genital affection followed by oral erosions and ulcers and an anterior and then posterior uveitis. Serology established the diagnosis and intravenous penicillin G treatment allowed for healing.

DISCUSSION

Called the "great pretender" because of its clinical polymorphism, secondary syphilis can lead to formidable neurological and ophthalmological complications. Serological diagnosis is based on the use of treponemal and a nontreponemal tests. Penicillin G remains the treatment of choice and must be adapted according to the clinical damage.

摘要

引言

梅毒是一种与梅毒螺旋体相关的性传播感染(STI)。二期梅毒是梅毒螺旋体通过血液进行的全身性传播。

观察

我们报告了一例无性传播感染风险因素患者的二期梅毒病例。临床表现始于生殖器病变,随后出现口腔糜烂和溃疡,以及前部而后是后部葡萄膜炎。血清学检查确诊,静脉注射青霉素G治疗后痊愈。

讨论

二期梅毒因其临床多态性被称为“伪装大师”,可导致严重的神经和眼科并发症。血清学诊断基于梅毒螺旋体检测和非梅毒螺旋体检测。青霉素G仍然是首选治疗药物,必须根据临床损害情况进行调整。

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