Gastric syphilis and its importance for a differential diagnosis in HIV patients
Author(s) -
Sergio NavarroMartínez,
Carmen PayáLlorente,
Manuel Vicente Planells Roig
Publication year - 2020
Publication title -
revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.6729/2019
Subject(s) - syphilis , human immunodeficiency virus (hiv) , differential diagnosis , medicine , differential (mechanical device) , virology , pathology , physics , thermodynamics
A 41-year-old male, with history of HIV presented to emergency department with two months of abdominal pain and a weight loss. Radiological and endoscopic examinations where suggestive of gastric cancer. However, biopsies ruled out malignancy. The reaginic and anti-treponemal tests were positive, so the histological study was repeated with anti-Treponema pallidum monoclonal antibodies. The presence of spirochetes was confirmed. After three weeks of penicillin-based treatment, the gastric lesions and symptoms were resolved.
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