Gastric syphilis and its importance for a differential diagnosis in HIV patients.
Sergio Navarro-MartínezCarmen Payá-LlorenteManuel Vicente Planells RoigPublished in: Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva (2021)
A 41-year-old male, with history of HIV presented to emergency department with two months of abdominal pain and a weight loss. Radiological and endoscopic examinations where suggestive of gastric cancer. However, biopsies ruled out malignancy. The reaginic and anti-treponemal tests were positive, so the histological study was repeated with anti-Treponema pallidum monoclonal antibodies. The presence of spirochetes was confirmed. After three weeks of penicillin-based treatment, the gastric lesions and symptoms were resolved.
Keyphrases
- human immunodeficiency virus
- emergency department
- antiretroviral therapy
- hiv positive
- hiv testing
- men who have sex with men
- hiv infected
- abdominal pain
- weight loss
- end stage renal disease
- hepatitis c virus
- hiv aids
- newly diagnosed
- ejection fraction
- chronic kidney disease
- ultrasound guided
- peritoneal dialysis
- bariatric surgery
- prognostic factors
- south africa
- patient reported outcomes
- physical activity
- skeletal muscle
- roux en y gastric bypass
- depressive symptoms
- gastric bypass
- gestational age