Atten M J, Attar B M, Teopengco E, Nadimpalli V
Division of Gastroenterology, Cook County Hospital, Chicago, Illinois.
Am J Gastroenterol. 1994 Dec;89(12):2227-9.
The resurgence of syphilis in the United States is effecting all areas of medical care. We describe a young female presenting with symptoms of peptic ulcer disease who failed to respond to H2-receptor antagonist therapy. After further evaluation, she was diagnosed with gastric syphilis and responded well to penicillin. Because gastric syphilis has no pathognomonic clinical findings, the clinician needs to be aware of this disease entity so as to make the correct diagnosis and institute the appropriate antibiotic therapy.
梅毒在美国的再度流行正在影响医疗保健的各个领域。我们描述了一名出现消化性溃疡疾病症状的年轻女性，她对H2受体拮抗剂治疗无反应。经过进一步评估，她被诊断为胃梅毒，对青霉素反应良好。由于胃梅毒没有特征性的临床表现，临床医生需要了解这种疾病实体，以便做出正确诊断并采取适当的抗生素治疗。
