出国劳务人员咽梅毒感染个案报道

A case report on pharyngeal Syphilis of abroad labor

目的研究梅毒传播途径及易感人群,减少梅毒感染率。方法对1例不明原因咽痛的出国劳务人员进行梅毒相关试验:甲苯胺红不加热血清试验(TRUST);梅毒螺旋体血凝试验(TPPA);口腔粘膜刮片暗视野螺旋体检查,以及流行病学调查。结果 TRUST试验1/8滴度阳性,1/16滴度阴性;TPPA试验阳性;暗视野螺旋体检查阳性。确诊该患者感染梅毒,且出现咽梅毒症状。流行病学调查表明梅毒感染者为出国劳务人员;同性恋者,且有口交行为。结论梅毒是一种性传播疾病,临床症状多见于生殖器,偶尔可通过口交感染咽梅毒。因此,耳鼻咽喉科医生在诊疗患者时应加强对此类疾病的注意,避免因误诊而延误治疗。

Objective To study the transmission way and susceptible of syphilis, and to reduce its infection. Methods A series of experiments about syphilis , TRUST, TPPA, and syphilis spirochete check by oral mucosal smears under dark-field microscopy were adopted, Meamevhile, the epidemiological investigation was conducted. Results TRUST 1/8＋,1/16-, TPPA＋, syphilis spirochete found in oral mucosal smears. Diagnosis was pharyngeal Syphilis, and the male was a gay who had oral sex during his labor abroad period. Conclusions Syphilis is a sexually transmitted disease, often found in reproductive organ , seldom in pharynx by oral sex .So the doctors ,especially the otolaryugology doctors should pay attention to pharyngeal syphilis, avoiding to misdiagnosis.