1992
DOI: 10.1093/ajcp/97.1.116
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Treponema pallidum and Helicobacter pylori Recovered in a Case of Chronic Active Gastritis

Abstract: A 49-year-old man complaining of epigastric pain underwent endoscopy, during which thickened stomach folds below the fundus were observed. Microscopic examination of gastric tissue biopsy specimens revealed chronic active gastritis. Dieterle stain revealed overwhelming numbers of "corkscrew-like" spirochetes. These were proved to be consistent with Treponema pallidum. A comprehensive study of the tissue revealed the added presence of Helicobacter pylori. This appears to be the first case report describing the … Show more

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Cited by 17 publications
(7 citation statements)
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“…This case is the second report of syphilitic gastritis in which H. pyloni was also found (45). In our case, H. pylori was found only in strands of mucus; it was not found in the tissue in areas of inflammation.…”
Section: Discussionsupporting
confidence: 48%
See 1 more Smart Citation
“…This case is the second report of syphilitic gastritis in which H. pyloni was also found (45). In our case, H. pylori was found only in strands of mucus; it was not found in the tissue in areas of inflammation.…”
Section: Discussionsupporting
confidence: 48%
“…Leptospirosis is a hematogenously spread systemic disease. Leptospires are rarely found in the lumens of gastric vessels, and they have not been shown to cause gastritis (45). S. rappini is a spiral bacterium described to occur in dogs, cats, and rats but not in humans.…”
Section: Establishing the Diagnosis And Differential Diagnosismentioning
confidence: 99%
“…Treponema pallidum is a Gram‐negative spirochete bacterium measuring 8–15 µm in length and 0.1–0.2 µm in diameter 17 . Due to its similarity to H. pylori and H. heilmannii it is important to distinguish it from these 17,18 . Helicobacter pylori measures 1–3 µm in length and 0.5–1.0 µm in diameter 17 .…”
Section: Discussionmentioning
confidence: 99%
“…17 Due to its similarity to H. pylori and H. heilmannii it is important to distinguish it from these. 17,18 Helicobacter pylori measures 1-3 mm in length and 0.5-1.0 mm in diameter. 17 Helicobacter heilmannii is longer and wider than H. pylori, but shorter and stouter than T. pallidum.…”
Section: Discussionmentioning
confidence: 99%
“…A positive rapid urease test would clinch the diagnosis of H. pylori , but would not differentiate between acute H. pylori , chronic H. pylori and other processes such as syphilis, NSAID damage or an unknown disease. 28 Nevertheless, most agree that the diagnosis of H. pylori infection should prompt therapy. The choice of therapy should be based on which combination (drugs, doses, duration) provide the optimum results.…”
mentioning
confidence: 99%