Gastric syphilis: The great imitator in the stomach
Koh Okamoto, Shuji Hatakeyama, Masami Umezawa and 1 more
IDCases · 2018
doi:10.1016/j.idcr.2018.03.015 (opens in a new tab)
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Abstract
Syphilis is resurging worldwide. Here, we present the case of a 33-year-old heterosexual man who presented with a 3-week history of epigastric pain, nausea, emesis, and 8 kg weight loss. He was subsequently diagnosed with gastric syphilis, based on reactive syphilis serological testing and Treponema pallidum found in gastric biopsy specimens. Gastric syphilis is a rare presentation observed in 1% of cases and usually develops in secondary syphilis. Given the nonspecific manifestation and findings, a high index of suspicion is required for diagnosis of gastric syphilis. Keywords: Gastric syphilis, Gastritis, Secondary syphilis
Abstract licence: CC BY-NC
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