Peculiar clinical presentation of primary syphilis in the oral cavity

Detalhes bibliográficos
Autor(a) principal: Tenório, Jefferson da Rocha
Data de Publicação: 2019
Outros Autores: Guimarães, Letícia Drumond de Abreu, Matuck, Bruno Fernandes, Conceição, Thalita Santana, Oliveira, Matheus Sampaio de, Sousa, Suzane Cantanhede Orsini Machado de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinical and Laboratorial Research in Dentistry
Texto Completo: https://www.revistas.usp.br/clrd/article/view/150981
Resumo: Syphilis, a sexually transmitted infection, has increased in incidence over the years, especially among the adult popu­lation. The oral manifestation of primary syphilis is usually characterized by a clinical course variable in which it pro­gresses to the next stages if not treated. In this report, we present two cases of oral manifestation of primary syphilitic lesion with peculiar clinical characteristics, and we emphasize the importance of a correct diagnosis. Biopsies were needed for differential diagnosis and serological exams were requested. The histopathological analysis suggested the diagnosis and the immunohistochemistry confirmed the presence of Treponema pallidum. Antibiotic therapy was ini­tiated with complete remission of the lesion. Therefore, a thorough anamnesis and a thorough clinical examination are essential for establishing the correct diagnosis, to begin the treatment of syphilis as soon as possible, thus avoiding the disease’s progression.
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spelling Peculiar clinical presentation of primary syphilis in the oral cavityApresentação clínica peculiar de sífilis primária na cavidade oralSyphilisInfectionTreponemal InfectionsSífilisInfecçãoInfecções por TreponemaSyphilis, a sexually transmitted infection, has increased in incidence over the years, especially among the adult popu­lation. The oral manifestation of primary syphilis is usually characterized by a clinical course variable in which it pro­gresses to the next stages if not treated. In this report, we present two cases of oral manifestation of primary syphilitic lesion with peculiar clinical characteristics, and we emphasize the importance of a correct diagnosis. Biopsies were needed for differential diagnosis and serological exams were requested. The histopathological analysis suggested the diagnosis and the immunohistochemistry confirmed the presence of Treponema pallidum. Antibiotic therapy was ini­tiated with complete remission of the lesion. Therefore, a thorough anamnesis and a thorough clinical examination are essential for establishing the correct diagnosis, to begin the treatment of syphilis as soon as possible, thus avoiding the disease’s progression.A sífilis, uma infecção sexualmente transmissível, aumentou sua incidência ao longo dos últimos anos, especialmente entre a população adulta. A manifestação oral da sífilis primária é geralmente caracterizada por um curso curto, no qual ela não é tratada e progride para os próximos estágios. Neste relato, apresentamos dois casos de manifestação oral de lesão sifilítica primária com apresentação clínica peculiar e enfatizamos a importância do diagnóstico cor­reto. Biópsias foram necessárias para diagnóstico diferencial e exames sorológicos foram solicitados. A análise histopatológica sugeriu o diagnóstico, e a imuno-histoquímica confirmou a presença do Treponema pallidum. Antibioticoterapia foi iniciada com remissão completa da lesão. Portanto, anamnese e um exame clínico minuciosos são essenciais para estabelecer o diagnóstico correto, a fim de estabelecer o tratamento da sífilis o quanto antes, evitando-se assim a progressão da doença.Universidade de São Paulo. Faculdade de Odontologia2019-03-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clrd/article/view/15098110.11606/issn.2357-8041.clrd.2019.150981Clinical and Laboratorial Research in Dentistry; 2019Clinical and Laboratorial Research in Dentistry; 20192357-8041reponame:Clinical and Laboratorial Research in Dentistryinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clrd/article/view/150981/151228Copyright (c) 2019 Bruno Fernandes Matuckinfo:eu-repo/semantics/openAccessTenório, Jefferson da RochaGuimarães, Letícia Drumond de AbreuMatuck, Bruno FernandesConceição, Thalita SantanaOliveira, Matheus Sampaio deSousa, Suzane Cantanhede Orsini Machado de2019-07-17T10:15:26ZRevistahttp://www.revistas.usp.br/clrd/indexPUB
dc.title.none.fl_str_mv Peculiar clinical presentation of primary syphilis in the oral cavity
Apresentação clínica peculiar de sífilis primária na cavidade oral
title Peculiar clinical presentation of primary syphilis in the oral cavity
spellingShingle Peculiar clinical presentation of primary syphilis in the oral cavity
Tenório, Jefferson da Rocha
Syphilis
Infection
Treponemal Infections
Sífilis
Infecção
Infecções por Treponema
title_short Peculiar clinical presentation of primary syphilis in the oral cavity
title_full Peculiar clinical presentation of primary syphilis in the oral cavity
title_fullStr Peculiar clinical presentation of primary syphilis in the oral cavity
title_full_unstemmed Peculiar clinical presentation of primary syphilis in the oral cavity
title_sort Peculiar clinical presentation of primary syphilis in the oral cavity
author Tenório, Jefferson da Rocha
author_facet Tenório, Jefferson da Rocha
Guimarães, Letícia Drumond de Abreu
Matuck, Bruno Fernandes
Conceição, Thalita Santana
Oliveira, Matheus Sampaio de
Sousa, Suzane Cantanhede Orsini Machado de
author_role author
author2 Guimarães, Letícia Drumond de Abreu
Matuck, Bruno Fernandes
Conceição, Thalita Santana
Oliveira, Matheus Sampaio de
Sousa, Suzane Cantanhede Orsini Machado de
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Tenório, Jefferson da Rocha
Guimarães, Letícia Drumond de Abreu
Matuck, Bruno Fernandes
Conceição, Thalita Santana
Oliveira, Matheus Sampaio de
Sousa, Suzane Cantanhede Orsini Machado de
dc.subject.por.fl_str_mv Syphilis
Infection
Treponemal Infections
Sífilis
Infecção
Infecções por Treponema
topic Syphilis
Infection
Treponemal Infections
Sífilis
Infecção
Infecções por Treponema
description Syphilis, a sexually transmitted infection, has increased in incidence over the years, especially among the adult popu­lation. The oral manifestation of primary syphilis is usually characterized by a clinical course variable in which it pro­gresses to the next stages if not treated. In this report, we present two cases of oral manifestation of primary syphilitic lesion with peculiar clinical characteristics, and we emphasize the importance of a correct diagnosis. Biopsies were needed for differential diagnosis and serological exams were requested. The histopathological analysis suggested the diagnosis and the immunohistochemistry confirmed the presence of Treponema pallidum. Antibiotic therapy was ini­tiated with complete remission of the lesion. Therefore, a thorough anamnesis and a thorough clinical examination are essential for establishing the correct diagnosis, to begin the treatment of syphilis as soon as possible, thus avoiding the disease’s progression.
publishDate 2019
dc.date.none.fl_str_mv 2019-03-13
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clrd/article/view/150981
10.11606/issn.2357-8041.clrd.2019.150981
url https://www.revistas.usp.br/clrd/article/view/150981
identifier_str_mv 10.11606/issn.2357-8041.clrd.2019.150981
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clrd/article/view/150981/151228
dc.rights.driver.fl_str_mv Copyright (c) 2019 Bruno Fernandes Matuck
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Bruno Fernandes Matuck
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Odontologia
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Odontologia
dc.source.none.fl_str_mv Clinical and Laboratorial Research in Dentistry; 2019
Clinical and Laboratorial Research in Dentistry; 2019
2357-8041
reponame:Clinical and Laboratorial Research in Dentistry
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinical and Laboratorial Research in Dentistry
collection Clinical and Laboratorial Research in Dentistry
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1776935965390012416

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