Dooley D P, Tomski S
Department of Medicine, Brooke Army Medical Center, Houston, Texas.
Chest. 1994 Feb;105(2):629-31. doi: 10.1378/chest.105.2.629.
Pneumonitis and symptomatic hepatitis are very rare complications of syphilis. Symptomatic hepatitis and subclinical reticulonodular pulmonary infiltrates were observed when an HIV-infected patient presented with secondary syphilis. The Jarisch-Herxheimer reaction included a flare of hepatitis symptoms, resembling cholangitis. In a patient with syphilis, it may be appropriate to delay an aggressive evaluation for suspected pneumonitis or cholangitis pending the outcome of specific antitreponemal therapy.
肺炎和症状性肝炎是梅毒非常罕见的并发症。一名感染HIV的患者出现二期梅毒时，观察到了症状性肝炎和亚临床网状结节性肺部浸润。雅-赫反应包括肝炎症状加重，类似胆管炎。对于梅毒患者，在特定抗梅毒螺旋体治疗结果出来之前，推迟对疑似肺炎或胆管炎进行积极评估可能是合适的。
