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Gastric syphilis and its importance for a differential diagnosis in HIV patients
Sergio Navarro-Martínez1, Carmen Payá-Llorente1, Manuel Vicente Planells Roig1
1Cirugía General y del Aparato Digestivo, Hospital Universitario Doctor Peset, España.
Abstract:
A 41-year-old male, with history of HIV presented to emergency department with two months of abdominal pain and a weight loss. Radiological and endoscopic examinations where suggestive of gastric cancer. However, biopsies ruled out malignancy. The reaginic and anti-treponemal tests were positive, so the histological study was repeated with anti-Treponema pallidum monoclonal antibodies. The presence of spirochetes was confirmed. After three weeks of penicillin-based treatment, the gastric lesions and symptoms were resolved.
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