不要忽视梅毒:一名妇女的非典型皮疹伴有神经系统、眼部和耳部受累。

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2025-01-16 DOI:10.1093/milmed/usae084
Elena M Crouch, Michael T O Stein, Matthew R Geringer, Aeja Weiss, Molly Stalons, Jamie L Geringer
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引用次数: 0

摘要

梅毒是由苍白螺旋体(Treponema pallidum)引起的一种性传播感染,其表现可分为原发性、继发性和三期。此外,梅毒还可导致无临床表现的潜伏感染,仅通过血清学检测即可确诊。二期梅毒尤其以引起皮疹和多种临床表现而著称,这使其诊断具有挑战性--尤其是对于病史和性史与经典流行病学和教科书对二期梅毒的描述不一致的患者。我们介绍了一例20岁免疫功能正常的异性恋女性患者,她的皮疹不典型,不属于继发性梅毒,同时伴有神经、眼部和耳部表现。该病例强调了在对性生活活跃的皮疹患者进行鉴别诊断时考虑梅毒的重要性,即使他们的临床表现与教科书上对梅毒皮疹的描述并不一致。医疗服务提供者必须保持警惕,在不同的临床环境中诊断梅毒,因为早期识别和治疗对于防止梅毒并发症和梅毒在军队和平民中的传播至关重要。及时发现和干预对患者护理和公共卫生都至关重要。
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Don't Overlook Syphilis: An Atypical Rash in a Woman With Neurologic, Ocular, and Otic Involvement.

The manifestations of syphilis, a sexually transmitted infection caused by Treponema pallidum, can be divided into primary, secondary, or tertiary stages. In addition, syphilis can cause a latent infection with no clinical manifestations and be diagnosed solely by serologic testing. Secondary syphilis is especially known for causing a rash and diverse clinical manifestation which can make its diagnosis challenging-particularly in patients whose medical and sexual histories do not align with the classical epidemiologic and textbook description of secondary syphilis. We present a case of a 20-year-old immunocompetent heterosexual woman who presented with a rash atypical for secondary syphilis and accompanied by neurologic, ocular, and otic manifestations. This case highlights the importance of considering syphilis in the differential diagnosis of sexually active patients with a rash, even when their clinical presentations do not align with the textbook description of a syphilitic rash. Health care providers must remain vigilant for the diagnosis of syphilis in diverse clinical contexts, as early recognition and treatment are vital to prevent further syphilitic complications and transmission in military and civilian populations. Timely identification and intervention are crucial for both patient care and public health.

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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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