A CASE OF SYPHILITIC PROCTITIS COMPLICATED WITH HUMAN IMMUNODEFICIENCY VIRUS INFECTION
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- NAKAUCHI Shusuke
- Department of Gastroenterology, Osaka City Juso Hospital.
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- OKAWA Kiyotaka
- Department of Gastroenterology, Osaka City Juso Hospital.
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- ONO Hiroshi
- Department of Gastroenterology, Osaka City Juso Hospital.
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- MIYANO Masato
- Department of Gastroenterology, Osaka City Juso Hospital.
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- SANO Koji
- Department of Gastroenterology, Osaka City Juso Hospital.
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- YAMAGUCHI Seiko
- Department of Gastroenterology, Osaka City Juso Hospital.
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- AOKI Tetsuya
- Department of Gastroenterology, Osaka City Juso Hospital.
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- KURAI Osamu
- Department of Gastroenterology, Osaka City Juso Hospital.
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- ONODERA Masayuki
- Department of Pathology, Kawanishi City Hospital.
Bibliographic Information
- Other Title
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- HIV感染を合併した梅毒性直腸炎の1例
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Description
<p>A homosexual man in his twenties visited a local doctor with complaints of tenesmus and bloody stools. He was referred to our hospital for detailed examination of rectal protruding lesions. Colonoscopy revealed three vertical ulcerative lesions in the anterior wall of the rectum. Two oral-side lesions accompanied the elevated lesions with ulcer. The endoscopic findings were similar to those of amebic colitis. Laboratory evaluation revealed positivity for the Treponema pallidum antibody and human immunodeficiency virus (HIV) and negativity for entamoeba histolytica antibody. Histological examination of rectal mucosa did not reveal amoeba. Immunostaining of rectal biopsy specimens with anti Treponema pallidum antibodies identified spirochetes. We diagnosed the patient with syphilitic proctitis complicated with HIV infection. The patient developed a skin eruption. Oral administration of amoxicillin was initiated. His digestive symptom and skin eruption resolved, and the rapid plasma reagin titers decreased.</p>
Journal
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- GASTROENTEROLOGICAL ENDOSCOPY
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GASTROENTEROLOGICAL ENDOSCOPY 61 (11), 2491-2497, 2019
Japan Gastroenterological Endoscopy Society
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Details 詳細情報について
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- CRID
- 1390282752371217664
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- NII Article ID
- 130007748543
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- ISSN
- 18845738
- 03871207
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed