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KMID : 0374920110320010057
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Inje Medical Journal
2011 Volume.32 No. 1 p.57 ~ p.63
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A Case of Gastric Syphilis Mimicking Lymphoma
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Kim Byung-Gyu
Jeon Tae-Joo
Park Ji-Young
Seo Hee-Young
Oh Tae-Hoon
Kim Hyun-Jung
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Abstract
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Syphilis is a chronic systemic infectious disease caused by Treponema pallidum. Syphilitic involvement of the stomach can occur via the blood flow in the primary or secondary period of syphilis, but its incidence is very rare. Gastric syphilis should be considered in patients at risk of sexually transmitted disease who complains of abdominal pain, nausea and vomiting and in whom unusual endoscopic or radiographic features are found. Because gastric syphilis has no pathognomic clinical findings and it can simulate gastric cancer or lymphoma, it’ s not so easy to diagnose. If diagnosed, however, gastric syphilis can be easily treated with proper antibiotics. We report on a case of gastric syphilis that manifested epigastric pain, anorexia and weight loss. It was initially thought to be lymphoma, but it was correctly diagnosed by serologic testing and progress.
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KEYWORD
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Gastric syphilis, Treponema Pallidum, Lymphoma
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