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Patient with primary tonsillar and gastric syphilis

  • Tadashi Ishimaru (a1), Yasutsugu Mizuno (a2), Hideaki Shiga (a1), Ikuo Nagayama (a1) and Mitsuru Furukawa (a1)...

Abstract

A male patient with syphilitic lesions in the tonsil and stomach is presented. The patient was infected while practising oral sex with heterosexual friends. He complained of nausea and snoring; his left tonsil was enlarged. Spirochetes were detected in a smear preparation from the left tonsil. As a gastric lesion, initially believed to be cancer, appeared to result from spirochete ingestion, the case is considered to represent primary syphilis. After antibiotic therapy with ampicillin, the left tonsil returned to normal size and gastric changes were no longer evident endoscopically. Gastroscopy should be considered if syphilis of the tonsil is observed, particularly when gastrointestinal symptoms are present. Both the oral and the gastric lesion can be mistaken for malignant neoplasm.

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Copyright

Corresponding author

Address for correspondence: Dr. Tadashi Ishimaru, Department of Otorhinolaryngology, School of Medicine, Kanazawa University, 1–13. Takara-machi, Kanazawa, 920, Japan. Fax: 81-76-234-4265 email: ishimar@med.kanazawa-u.ac.jp

References

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Fiummara, N. J., Berg, M. (1974) Primary syphilis in the oral cavity. British Journal of Venereal Disease 50: 463464.
Fiummara, N. J. (1976) Venereal diseases of the oral cavity. Journal of Oral Medicine 31: 3640.
Fiummara, N. J., Walker, E. A. (1982) Primary syphilis of the tonsil. Archives of Otolaryngology–Head and Neck Surgery 108: 4344.
Ikebe, M., Oiwa, T., Mori, M., Kuwano, H., Sugimachi, K., Takahashi, Y. (1994) Gastric syphilis: Case report and review of the literature. Radiation Medicine 12: 171175.
Ohshiro, H., Yokoyama, Y., Yokoyama, I., Kondou, K., Kikuchi, M. (1987) Gastric syphilis: Report of a case. Gastroenterological Endoscopy 29: 20522055.
Saruta, T. (1983) Rapid diagnosis of herpetic disease by the Parker ink method. Journal of Dermatology 10 287289.
Viers, W. A. (1981) Primary syphilis of the tonsil: Presentation of four cases. Laryngoscope 91: 15071511.
Winters, H. A., Notar-Francesco, V., Bromberg, K., Rawstrome, S. A., Vetrano, J., Prego, V., Kuan, J., Raufman, J-P. (1992) Gastric syphilis: Five recent cases and a review of the literature. Annals of Internal Medicine 116: 314319.

Keywords

Patient with primary tonsillar and gastric syphilis

  • Tadashi Ishimaru (a1), Yasutsugu Mizuno (a2), Hideaki Shiga (a1), Ikuo Nagayama (a1) and Mitsuru Furukawa (a1)...

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