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一名29岁女性的颈部梅毒淋巴结炎:病例报告

Cervical Syphilitic Lymphadenitis in a 29-Year-Old Female: A Case Report.

作者信息

Bickford David D, Johnson Peter, Brahmbhatt Nupur, Kroft Steven

机构信息

Internal Medicine, Medical College of Wisconsin, Milwaukee, USA.

Pathology, Medical College of Wisconsin, Milwaukee, USA.

出版信息

Cureus. 2023 Mar 13;15(3):e36065. doi: 10.7759/cureus.36065. eCollection 2023 Mar.

Abstract

Cervical lymphadenopathy is a common condition characterized by the enlargement of lymph nodes. It can have various causes, including infections, inflammatory conditions, and neoplastic processes. Syphilis, a sexually transmitted disease that progresses through multiple stages, can also be a rare cause of cervical lymphadenopathy, particularly in HIV-positive individuals. In this case report, we describe a patient presenting with throat pain, systemic symptoms, and cervical lymphadenopathy, initially clinically suggestive of lymphoma but ultimately determined to be caused by syphilis of unknown duration. This case highlights the importance of considering syphilis in the differential diagnosis of cervical lymphadenitis, particularly in patients with risk factors, such as intravenous drug use and HIV infection, and the need for a thorough evaluation of the patient's social and medical histories to diagnose and treat the condition accurately.

摘要

颈部淋巴结病是一种以淋巴结肿大为特征的常见病症。它可有多种病因,包括感染、炎症性疾病和肿瘤性病变。梅毒是一种分多个阶段发展的性传播疾病,也可能是颈部淋巴结病的罕见病因,尤其是在艾滋病毒阳性个体中。在本病例报告中,我们描述了一名出现咽痛、全身症状和颈部淋巴结病的患者,最初临床提示为淋巴瘤,但最终确定是由病程不明的梅毒引起。该病例强调了在颈部淋巴结炎的鉴别诊断中考虑梅毒的重要性,特别是对于有诸如静脉吸毒和艾滋病毒感染等危险因素的患者,以及全面评估患者的社会和病史以准确诊断和治疗该病症的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642c/10092898/dd6af9ef1cc5/cureus-0015-00000036065-i01.jpg

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