A case of syphilitic lymphadenitis of the cervical lymph nodes
A case of syphilitic lymphadenitis of the neck, without syphilis of other regions, is presented. Thepatient was a 41-year-old man. A medical examination revealed a 35×35mm mass and swelling of several lymphnodes in the left side of the neck. The mass was thought to be a malignant lymphoma. However,...
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Published in | Japanese Journal of Oral and Maxillofacial Surgery Vol. 51; no. 1; pp. 35 - 38 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Japanese Society of Oral and Maxillofacial Surgeons
2005
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Subjects | |
Online Access | Get full text |
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Summary: | A case of syphilitic lymphadenitis of the neck, without syphilis of other regions, is presented. Thepatient was a 41-year-old man. A medical examination revealed a 35×35mm mass and swelling of several lymphnodes in the left side of the neck. The mass was thought to be a malignant lymphoma. However, serological examinationrevealed elevated values of the RPR test (titer, 1: 64) and TPHA test (1: 2560). Light microscopicexamination of the mass also showed lymphadenitis associated with follicular hyperplasia with extension into themedulla and proliferation of plasmacytes and epithelial-like cells within the follicles. Conseqently, the mass wasdiagnosed as syphilitic lymphadenitis. An intravenous drip injection of ABPC was administered at 2.0g/day for4days postoperatively, and oral ABPC 1.5g/day was given for 2 months. Cervical lymph node swelling disappearedcompletely. Interview of the patient suggested that syphilis was acquired 2 months befor the onset of symptoms, and the syphilitic lymphadenitis was apparently caused by oral infection. |
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ISSN: | 0021-5163 2186-1579 |
DOI: | 10.5794/jjoms.51.35 |