Recent syphilis with oral manifestations

Autor: Salvador Darcy da Silva, Gloria Iara dos Santos Barros, Alexandre Marques Paes da Silva, Tegnus Vinicius Depes de Gouvêa, Carla Renata Petillo de Pinho, Antônio Canabarro, Luiz Carlos Moreira, Dennis de Carvalho Ferreira, Mauro Romero Leal Passos
Jazyk: English<br />Portuguese
Rok vydání: 2018
Předmět:
Zdroj: DST, Vol 30, Iss 4 (2018)
Druh dokumentu: article
ISSN: 2177-8264
Popis: Introduction: The occurrence of sexually transmitted infections with oral manifestations, such as syphilis, remains a challenge in the era of rapid tests associated with an adequate clinical evaluation in the patients’ approach. Objective: To describe the clinical and laboratory aspects involved, from the diagnosis to prognosis, of three case reports of recent syphilis with oral manifestations attended at a university clinic in the city of Niteroi, Rio de Janeiro, Brazil. Case report: Three cases of recent syphilis with oral manifestations in the tongue region. The first one, a 38-year-old female patient who presented syphilis in regions of the body other than the oral cavity (case I); the second one, a 31-year-old male patient with oral ulcerative lesions with associated genital lesion (case II); and, finally, a 49-year-old female patient suspected of oral human papillomavirus (HPV) lesions, in which syphilis was confirmed after a long path to obtain her diagnosis (case III). All cases were laboratory tested at the time of diagnosis and received appropriate treatment and guidance. Conclusion: It was possible to observe through the present study that some situations need attention: evaluation of the oral cavity should occur concomitantly with the investigation of genital lesions; diagnosis hypothesis of occurrence of syphilis with oral manifestation should be considered in the clinical evaluation; oral lesions may present similar clinical manifestations, suggesting investigation of their possible infectious etiology.
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