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

作　　者：蔡彩云 张永喜[2] 吴蒙蒙 龚晓明 柯亨宁 CAI Caiyun;ZHANG Yongxi;WU Mengmeng;GONG Xiaoming;KE Hengning(Training Centre of AIDS Prevention and Cure of Hubei Province,Zhongnan Hospital of Wuhan University,430071,China)

机构地区：[1]武汉大学中南医院湖北省艾滋病临床指导培训中心,430071 [2]武汉大学中南医院感染科,430071 [3]武汉中心医院急救中心,430014 [4]宁夏医科大学总医院肿瘤研究所,银川750004

出　　处：《传染病信息》2023年第1期86-89,93,共5页Infectious Disease Information

基　　金：国家自然科学基金(31760263)。

摘　　要：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.

关 键 词：HIV AIDS 梅毒性直肠炎 高效抗反转录病毒治疗 肠道肿瘤 炎症性肠病 梅毒血清学固定 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]