Haitsma Mulier Jelle L G, van Beurden Yvette H, van Eijck Brechje C, van der Reijden Wil A, van Lelyveld Steven F L
Spaarne Gasthuis, afd. Interne Geneeskunde, Hoofddorp.
Contact: Jelle L.G. Haitsma Mulier (
Ned Tijdschr Geneeskd. 2021 Oct 14;165:D5669.
Syphilis is a sexually transmitted disease, caused by the spirochete Treponema Pallidum. Many different manifestations exist, which can complicate diagnosis.
A 36-year-old man with a known HIV infection, presented himself with rectal blood loss and abdominal pain. Abdominal ultrasound and abdominal CT were suspicious for malign liver metastases. During subsequent colonoscopy, benign looking rectal lesions were found, possibly caused by either lymphogranuloma venereum or syphilis. Additional diagnostics confirmed an active syphilis infection. After treatment with benzylpenicillin, patient's complaints resolved, as well as the lesions in rectum and liver.
We describe a rare case of a patient with secondary syphilis, presenting with rectal lesions and liver lesions suspicious for malign metastases.
梅毒是一种由梅毒螺旋体引起的性传播疾病。存在许多不同的表现形式，这可能使诊断变得复杂。
一名已知感染艾滋病毒的36岁男性，出现直肠出血和腹痛症状。腹部超声和腹部CT检查怀疑有肝脏恶性转移瘤。在随后的结肠镜检查中，发现了外观良性的直肠病变，可能由性病性淋巴肉芽肿或梅毒引起。进一步检查确诊为活动性梅毒感染。经苄星青霉素治疗后，患者的症状以及直肠和肝脏的病变均得到缓解。
我们描述了一例罕见的二期梅毒患者，表现为直肠病变和疑似恶性转移的肝脏病变。
