An Uncommon Manifestation of a Great Imitator: Gummatous Syphilis of the Liver in an HIV-Positive Patient.

IF 1 Q4 INFECTIOUS DISEASES Case Reports in Infectious Diseases Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI:10.1155/2024/6571155
Nadia Solomon, Tom Heller, Tommaso Manciulli, Paola Del Giacomo, Katleen de Gaetano Donati, Enrico Brunetti, Francesco Taccari
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Abstract

Syphilis is a sexually transmitted infection caused by Treponema pallidum. It progresses in phases and undiagnosed disease can cause considerable morbidity. Tertiary syphilis causes the formation of gummas. Liver involvement is rarely described and usually limited to transaminase elevation during primary syphilis. We present a case of tertiary syphilis in an HIV patient. Microbiological, clinical, and radiological information were retrieved from the patient's record. Gummatous syphilis is rarely described in the literature, and practicing physicians should be aware of its existence and include this manifestation in the differential diagnosis of patients with a positive serology and focal liver lesions.

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伟大模仿者的罕见表现:一名艾滋病毒阳性患者的肝脏梅毒性树胶肿
梅毒是由苍白螺旋体引起的性传播感染。梅毒会分期发展,未确诊的梅毒可导致相当高的发病率。三期梅毒会导致牙龈瘤的形成。肝脏受累的情况很少见,通常仅限于原发性梅毒时转氨酶升高。我们报告了一例艾滋病患者的三期梅毒病例。我们从患者的病历中获取了微生物学、临床和放射学信息。文献中很少描述胶样梅毒,执业医生应该意识到它的存在,并将这种表现纳入血清学阳性和局灶性肝脏病变患者的鉴别诊断中。
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来源期刊
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0.00%
发文量
64
审稿时长
13 weeks
期刊最新文献
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