HIV阳性梅毒性直肠炎1例并文献复习

A case of HIV-positive syphilitic proctitis and literature review

梅毒性直肠炎是由梅毒螺旋体引起的肠道疾病,一期、二期梅毒均可发生。由于梅毒螺旋体和HIV有相同的传播途径,所以二者常合并感染。梅毒性直肠炎缺乏特异性临床表现及影像学特征,容易误诊及漏诊。根据患者性行为史,临床表现及梅毒血清学、肠镜、病理检查可综合诊断。本文现对1例HIV阳性梅毒性直肠炎患者临床特征进行总结,并进行相关文献复习。

Syphilitic proctitis is an intestinal disease caused by Treponema pallidum, which may occur during primary and secondary syphilis stages. Treponema pallidum and HIV often co-infected because they share routes of transmission. Syphilitic proctitis lacks characteristic clinical manifestations and specific imaging features, which is easy to be misdiagnosed and missed. It can be diagnosed according to the patient’ s sexual history, clinical manifestations, syphilis serology, colonoscopy, and pathology examination. This article reports the clinical characteristics of a case of HIV-positive syphilitic proctitis and a review relevant literature as follows.