Syphilitic Proctitis

Syphilitic proctitis is a rare disease that usually presents as proctitis, ulcer, and neoplasm but lacks pathognomonic clinical symptoms. It is thus difficult to diagnose and may be treated inappropriately. We report a 31-year-old man who had a hard, ulcerated mass that occupied the rectal and sigmo...

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Published inProceedings - Baylor University. Medical Center Vol. 29; no. 3; pp. 327 - 328
Main Authors Yang, Juliana F., Peng, Lan, Siddiqui, Ali A., Mayorga, Christian A.
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 01.07.2016
Taylor & Francis Group LLC
Taylor & Francis Ltd
Baylor Health Care System
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Summary:Syphilitic proctitis is a rare disease that usually presents as proctitis, ulcer, and neoplasm but lacks pathognomonic clinical symptoms. It is thus difficult to diagnose and may be treated inappropriately. We report a 31-year-old man who had a hard, ulcerated mass that occupied the rectal and sigmoid colon wall and mimicked a tumor. Fortunately, a biopsy of the mass demonstrated Treponema pallidum organisms consistent with syphilitic proctitis. The patient was successfully treated with intravenous benzyl penicillin, resulting in improvement in his proctitis.
ISSN:0899-8280
1525-3252
DOI:10.1080/08998280.2016.11929457