当科で経験した扁桃梅毒の1例

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  • 矢島 諒人
    JA北海道厚生連帯広厚生病院耳鼻咽喉科
  • 宮田 遼
    JA北海道厚生連帯広厚生病院耳鼻咽喉科
  • 吉岡 巌
    JA北海道厚生連帯広厚生病院耳鼻咽喉科

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タイトル別名
  • A Case of Pharyngeal Syphilis
  • トウ カ デ ケイケン シタ ヘントウ バイドク ノ 1レイ

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説明

<p>Here we report a case of second-stage pharyngeal syphilis. A 65-year-old male complained of increasing throat pain. Upon examination, his bilateral pharyngeal tonsils were swollen and showed erosion with a white-gray coating. Initially, we suspected that the patient had a mesopharyngeal tumor.</p><p>Serological tests showed high RPR, TPHA, and FTA-ABS titers. A tonsil biopsy, stained using the Warthin-Starry stain revealed a small number of spirochetes. No other symptoms were evident. On the basis of these findings, we diagnosed the patient with secondary pharyngeal syphilis. Notable improvement was evident following amoxicillin treatment.</p><p>The frequency of syphilis cases has been increasing over recent years. When diagnosing a patient with erosive tonsils, we recommend that physicians should consider the possibility of pharyngeal syphilis.</p>

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