DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20212461

Oronasal syphilis: a forgotten disease?

Shriya Pramod Basti, Vikram Kemmannu Bhat, Tesmi Chacko

Abstract


Syphilis is a multistage disease that is usually transmitted through sexual contact or mother-infant transmission route. The incidence of oronasal syphilis has significantly decreased with the advent of penicillin therapy. However, it continues to exist, even though almost forgotten by the clinician. In this paper, we report one such case of a rare presentation of tertiary oronasal syphilis. A high index of suspicion is required to avoid missing the diagnosis of this masquerader.


Keywords


Oronasal, Syphilis, Sexually transmitted disease, Penicillin

Full Text:

PDF

References


World Health Organization. WHO guideline on syphilis screening and treatment for pregnant women. World Health Organization. 2017. https://www.who.int/reproductivehealth/publications/rtis/syphilis-ANC-screenandtreat-guidelines/en/. Accessed on 20 March, 2021.

Park IU, Fakile YF, Chow JM, Gustafson KJ, Jost H, Schapiro JM, Novak-Weekley S et al. Performance of treponemal tests for the diagnosis of syphilis. Clin Infect Dis. 2019;68(6): 913-8.

Hicks CB, Clement M. Syphilis: Treatment and monitoring. Waltham (MA): UpToDate. 2018; 21. Ikenberg K, Springer E, Bräuninger W, Kerl K, Mihic D, Schmid S et al. Oropharyngeal lesions and cervical lymphadenopathy: syphilis is a differential diagnosis that is still relevant. J Clin Pathol. 2010;63(8):731-6.

Titinchi F, Behardien N, Morkel J, Opperman J. Perforation of the palate-A report of two Syphilitic Gumma cases. S A Dentol J.2020;75(6):311-5.

Prasad BK, Mokamati S. Tertiary nasal syphilis: rare but still a reality. Arch Otolaryngol Rhinol. 2009;2(1):013-15.

Gugatschka M, Hammer GP, Koele W, Reiter H, Friedrich G, Lang-Loidolt D. Syphilis is back: Presentation of three cases at the ENT department. B-ENT. 2012;8(1):65.

Chaudhary M, Kashyap B, Bhalla P. Congenital syphilis, still a reality in 21 st century: a case report. J Med C Rep. 2007;1(1):1-3.

Klemm E, Wollina U. Otosyphilis: report on six cases. JEuro Acad Dermatol Venerol. 2004;18(4):429-34.