Tags

Type your tag names separated by a space and hit enter

Primary syphilitic proctitis : case report and literature review.
Acta Gastroenterol Belg. 2018 Jul-Sep; 81(3):430-432.AG

Abstract

Rectal ulcerations are an uncommon presentation of a primary syphilis infection. Anorectal syphilis is difficult to diagnose because of its often asymptomatic or atypical clinical presentation. It is important to consider sexually transmitted diseases (STD) in all patients presenting with rectal symptoms. A history of anal sexual intercourse should be made, especially in men having sex with men (MSM). Moreover, the possibility of a primary syphilis infection of the rectum should be considered. Endoscopic findings might be diverse, whereas a typical chancre can present as an anorectal ulcer associated with regional lymphadenopathy. It is important to consider other causes of anorectal ulcers, like other STD, inflammatory bowel disease (IBD) or even malignant causes. The diagnosis of anorectal syphilis is based on the combination of the clinical presentation, serology tests, endoscopic findings and biopsies. The cornerstone of the treatment is based on an intramuscularly administration of a long-acting preparation of penicillin (benzathine penicillin G).

Authors+Show Affiliations

Department of Gastroenterology, University Hospital Gasthuisberg, Leuven, Belgium. Department of Gastroenterology, Ziekenhuis Oost-Limburg (ZOL), Genk, Belgium.Department of General Internal Medicine, University Hospital Gasthuisberg, Leuven, Belgium.Department of Gastroenterology, University Hospital Gasthuisberg, Leuven, Belgium. Department of Gastroenterology, AZ Groeninge, Kortrijk, Belgium.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

30350534

Citation

Struyve, M, et al. "Primary Syphilitic Proctitis : Case Report and Literature Review." Acta Gastro-enterologica Belgica, vol. 81, no. 3, 2018, pp. 430-432.
Struyve M, Meersseman W, Van Moerkercke W. Primary syphilitic proctitis : case report and literature review. Acta Gastroenterol Belg. 2018;81(3):430-432.
Struyve, M., Meersseman, W., & Van Moerkercke, W. (2018). Primary syphilitic proctitis : case report and literature review. Acta Gastro-enterologica Belgica, 81(3), 430-432.
Struyve M, Meersseman W, Van Moerkercke W. Primary Syphilitic Proctitis : Case Report and Literature Review. Acta Gastroenterol Belg. 2018 Jul-Sep;81(3):430-432. PubMed PMID: 30350534.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary syphilitic proctitis : case report and literature review. AU - Struyve,M, AU - Meersseman,W, AU - Van Moerkercke,W, PY - 2018/10/24/entrez PY - 2018/10/24/pubmed PY - 2019/3/1/medline KW - Treponema pallidum and rectitis KW - chancre KW - syphilis KW - ulcer SP - 430 EP - 432 JF - Acta gastro-enterologica Belgica JO - Acta Gastroenterol. Belg. VL - 81 IS - 3 N2 - Rectal ulcerations are an uncommon presentation of a primary syphilis infection. Anorectal syphilis is difficult to diagnose because of its often asymptomatic or atypical clinical presentation. It is important to consider sexually transmitted diseases (STD) in all patients presenting with rectal symptoms. A history of anal sexual intercourse should be made, especially in men having sex with men (MSM). Moreover, the possibility of a primary syphilis infection of the rectum should be considered. Endoscopic findings might be diverse, whereas a typical chancre can present as an anorectal ulcer associated with regional lymphadenopathy. It is important to consider other causes of anorectal ulcers, like other STD, inflammatory bowel disease (IBD) or even malignant causes. The diagnosis of anorectal syphilis is based on the combination of the clinical presentation, serology tests, endoscopic findings and biopsies. The cornerstone of the treatment is based on an intramuscularly administration of a long-acting preparation of penicillin (benzathine penicillin G). SN - 1784-3227 UR - https://www.unboundmedicine.com/medline/citation/30350534/Primary_syphilitic_proctitis_:_case_report_and_literature_review_ L2 - http://www.diseaseinfosearch.org/result/5968 DB - PRIME DP - Unbound Medicine ER -