1 産業医科大学医学部泌尿器科学講座Department of Urology, School of Medicine, University of Occupational and Environmental Health
2 産業医科大学医学部皮膚科学教室Department of Dermatology, University of Occupational and Environmental Health
In this case report, we present two patients who were diagnosed with primary syphilis and exhibited atypical chief complaints.
Case 1 was a 47-year-old male patient who presented with a chief complaint of burning pain in the penis. He was initially diagnosed with infected genital burns due to edema in the foreskin and penile ulcers and treated using antibiotics. However, positive TPLA and RPR tests confirmed primary syphilis and the patient was treated using amoxicillin thereafter. The RPR titer was seen to decline after treatment and the penile ulcers healed.
Case 2 was a 43-year-old male patient who had previously undergone treatment for balanoposthitis using an antibacterial ointment. He then developed painless bilateral inguinal lymphadenopathy, suggesting malignant lymphoma. However, TPLA and RPR testing was carried out as balanoposthitis is often associated with painless lymphadenopathy. The positive results confirmed primary syphilis and the patient was treated using amoxicillin. The RPR titer was seen to decline thereafter and the inguinal lymph nodes became nonpalpable.
Key words: Syphilis; Treponema pallidum
© 2023 一般社団法人日本性感染症学会© 2023 Japanese Society for Sexually Transmitted Infections
This page was created on 2023-08-17T17:59:44.317+09:00
This page was last modified on 2023-09-19T11:59:59.000+09:00
このサイトは（株）国際文献社によって運用されています。
