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A Case of Asymptomatic Syphilitic Proctitis
Lao-Tzu Allan-Blitz, Omer E Beaird1, Sarah M Dry2
1Division of Infectious Diseases.
Sexually Transmitted Diseases
|December 6, 2018
Summary
Syphilis incidence is rising. A routine colonoscopy revealed asymptomatic syphilitic proctitis, highlighting the need for screening in specific patient groups.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Proctology
Background:
- Syphilis, a sexually transmitted infection, is experiencing a global resurgence.
- Syphilitic proctitis, inflammation of the rectal lining due to syphilis, typically manifests with symptoms like painful defecation, rectal bleeding, or visible ulcerations.
- Diagnosis often relies on clinical presentation and serological tests.
Observation:
- This report details a unique case of syphilitic proctitis.
- The patient presented with no overt symptoms related to proctitis.
- The condition was incidentally discovered during a standard screening colonoscopy.
Findings:
- Histopathological examination and serological testing confirmed the presence of *Treponema pallidum* in the rectal mucosa.
- The diagnosis of asymptomatic syphilitic proctitis was established despite the absence of typical clinical indicators.
- This case underscores the potential for syphilis to affect the rectum without causing noticeable symptoms.
Implications:
- Asymptomatic syphilitic proctitis can be detected through routine endoscopic screenings.
- Healthcare providers should consider syphilis screening in individuals undergoing colonoscopy, particularly those with risk factors.
- Early detection through screening can prevent disease progression and transmission.
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