Gómez N A, León C J, Rojas J E, Arévalo C A
Digestive Diseases Institute, Esperanza Foundation, Guayaquil, Ecuador.
Acta Gastroenterol Latinoam. 1997;27(4):263-5.
We report a case of a patient that presented with a perforated hard palate as a late complication due to an unsuspected syphilis. This disease first presented as a rectal ulcer which was misdiagnosed as an amebic proctitis. The patient received antiamebic treatment with a satisfactory outcome. He did not return for late control of the latter treatment and returned seeking medical advice six years later with the former complication. He tested positive for syphilis and appropriate treatment was performed. In addition, the ORL department recommended a palate prosthesis.
我们报告一例患者,该患者因未被怀疑的梅毒出现硬腭穿孔这一晚期并发症。该疾病最初表现为直肠溃疡,被误诊为阿米巴性直肠炎。患者接受了抗阿米巴治疗,结果令人满意。他没有回来接受后期治疗的复查,六年后因上述并发症前来寻求医疗建议。他梅毒检测呈阳性,并接受了适当治疗。此外,耳鼻喉科建议使用腭部假体。