A case of syphilitic lymphadenitis of the cervical lymph nodes

Abstract

A case of syphilitic lymphadenitis of the neck, without syphilis of other regions, is presented. The patient was a 41-year-old man. A medical examination revealed a 35•~35 mm mass and swelling of several lymph

Primary syphilis with a tongue ulcer mimicking tongue cancer: a case report

“…Patients with primary syphilis develop hard chancre at the infected site 2 to 6 weeks after infection; however, patients usually have no subjective symptoms, including pain, and seldom visit a hospital because hard chancre disappears spontaneously 4 to 10 weeks later. 2,[6][7][8][9][10][11] After symptoms of primary syphilis disappear, the disease transitions to a secondary stage through a latent period of 4 to 10 weeks. 2,[6][7][8][9][10][11] The patient in this case visited our hospital 49 days after the sexual intercourse, which was likely during the latent period of the infection, and this made it difficult to differentiate primary syphilis from secondary syphilis.…”

“… 7 Primary syphilis, which is the early phase of the infection, develops as an indolent ulcer (referred to as hard chancre) in infected areas and is sometimes accompanied by indolent lymphadenopathy. 8 …”

“…2,[6][7][8][9][10][11] After symptoms of primary syphilis disappear, the disease transitions to a secondary stage through a latent period of 4 to 10 weeks. 2,[6][7][8][9][10][11] The patient in this case visited our hospital 49 days after the sexual intercourse, which was likely during the latent period of the infection, and this made it difficult to differentiate primary syphilis from secondary syphilis. Because no systemic symptoms and signs except those in the oral cavity and cervical lymph nodes were found after the identification of syphilis infection in our hospital, the most reasonable diagnosis was primary syphilis contracted orally.…”

“…7 Primary syphilis, which is the early phase of the infection, develops as an indolent ulcer (referred to as hard chancre) in infected areas and is sometimes accompanied by indolent lymphadenopathy. 8 Li et al reported a case of secondary syphilis misdiagnosed as sarcoidosis on the basis of eruptions on the face, bilateral upper thighs, and scrotum. 9 The case involved a heterosexual man in his 20 s with a diagnosis of HIV infection with generalized eruption as the primary symptom.…”