A Case Report of Syphilitic Proctitis

  • Okamoto N.
    Department of Surgery, Rokuwa Hospital Fujita Health University School of Medicine
  • Maeda K.
    Fujita Health University School of Medicine
  • Sato S.
    Department of Surgery, Rokuwa Hospital
  • Senga S.
    Department of Surgery, Rokuwa Hospital
  • Sato H.
    Fujita Health University School of Medicine
  • Hosono R.
    Department of Surgery, Rokuwa Hospital
  • Katsuno H.
    Fujita Health University School of Medicine

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  • 梅毒性直腸炎の1例

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Abstract

A 53-year-old man was admitted to our hospital because of anal bleeding and thin feces. Digital examination revealed a protruding lesion 7 cm above the anal verge at the site of the anterior wall of the rectum. Colonoscopic examination revealed multiple map-like ulcers in the area extending from the anal canal to the upper rectum. Examination of a biopsy specimen failed to demonstrate Treponema pallidum, but syphilitic proctitis was suspected because of positive reaction in the serological tests (TPHA, SLIDE, FTA-ABS) for syphilis. After initiation of amoxicillin treatment, rapid healing of the rectal lesions was confirmed by colonoscopy. Overall, a definitive diagnosis of syphi-litic proctitis was made.

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