An Unusual Visit from an Old Foe: Oral Presentation of Syphilis in a Teenage Patient
The authors report an atypical case of secondary syphilis in an adolescent female presenting to a tertiary-care center with fever, weight loss, oral sores, painful inguinal lymphadenopathy, and transient macular rash. Given the lower prevalence of syphilis in adolescent females, this infection was n...
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| Published in: | Case reports in pediatrics Vol. 2021; pp. 1 - 3 |
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| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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New York
Hindawi
16-08-2021
Hindawi Limited |
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| Abstract | The authors report an atypical case of secondary syphilis in an adolescent female presenting to a tertiary-care center with fever, weight loss, oral sores, painful inguinal lymphadenopathy, and transient macular rash. Given the lower prevalence of syphilis in adolescent females, this infection was not included on the initial differential diagnosis. The evolving presentation of syphilis over time complicates the diagnosis and management of these infections, as it did for the patient in this report. The authors provide a detailed discussion of the patient’s clinical findings, including the protean features of syphilis infection. This case is particularly relevant to the fields of general pediatrics and pediatric hospital medicine. |
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| AbstractList | The authors report an atypical case of secondary syphilis in an adolescent female presenting to a tertiary-care center with fever, weight loss, oral sores, painful inguinal lymphadenopathy, and transient macular rash. Given the lower prevalence of syphilis in adolescent females, this infection was not included on the initial differential diagnosis. The evolving presentation of syphilis over time complicates the diagnosis and management of these infections, as it did for the patient in this report. The authors provide a detailed discussion of the patient’s clinical findings, including the protean features of syphilis infection. This case is particularly relevant to the fields of general pediatrics and pediatric hospital medicine. |
| Author | Halloran, Diana Bhatt, Avni Plaza-Verduin, Maritza Ryan, Kathleen Rahman, Sydur Tarhan, Bedirhan Vu, Thao Sites, Jeremy |
| AuthorAffiliation | 4 University of California, Davis School of Medicine, Sacramento, CA, USA 1 Department of Pediatrics, College of Medicine, University of Florida, Gainesville, FL, USA 3 Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC, USA 2 Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA 5 Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville, FL, USA |
| AuthorAffiliation_xml | – name: 5 Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville, FL, USA – name: 3 Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC, USA – name: 4 University of California, Davis School of Medicine, Sacramento, CA, USA – name: 1 Department of Pediatrics, College of Medicine, University of Florida, Gainesville, FL, USA – name: 2 Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA |
| Author_xml | – sequence: 1 givenname: Bedirhan surname: Tarhan fullname: Tarhan, Bedirhan organization: Department of PediatricsCollege of MedicineUniversity of FloridaGainesvilleFLUSAufl.edu – sequence: 2 givenname: Sydur orcidid: 0000-0002-7811-5639 surname: Rahman fullname: Rahman, Sydur organization: Department of PediatricsCollege of MedicineUniversity of FloridaGainesvilleFLUSAufl.edu – sequence: 3 givenname: Diana surname: Halloran fullname: Halloran, Diana organization: Department of Emergency MedicineNorthwestern University Feinberg School of MedicineChicagoILUSAnorthwestern.edu – sequence: 4 givenname: Jeremy surname: Sites fullname: Sites, Jeremy organization: Department of PediatricsUniversity of North Carolina School of MedicineChapel HillNCUSAunc.edu – sequence: 5 givenname: Avni surname: Bhatt fullname: Bhatt, Avni organization: University of CaliforniaDavis School of MedicineSacramentoCAUSAberkeley.edu – sequence: 6 givenname: Kathleen orcidid: 0000-0002-8267-6885 surname: Ryan fullname: Ryan, Kathleen organization: Department of PediatricsCollege of MedicineUniversity of FloridaGainesvilleFLUSAufl.edu – sequence: 7 givenname: Maritza surname: Plaza-Verduin fullname: Plaza-Verduin, Maritza organization: Department of Emergency MedicineCollege of MedicineUniversity of FloridaGainesvilleFLUSAufl.edu – sequence: 8 givenname: Thao surname: Vu fullname: Vu, Thao organization: Department of PediatricsCollege of MedicineUniversity of FloridaGainesvilleFLUSAufl.edu |
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| Cites_doi | 10.1080/23744235.2019.1690676 10.1136/bcr-2015-209824 10.1001/archinte.1943.00210070086008 10.1097/00007435-199601000-00013 10.1191/096120301680417002 10.1097/00007435-197804000-00009 10.1002/art.1780261218 10.1097/00007435-198010000-00002 |
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| Copyright | Copyright © 2021 Bedirhan Tarhan et al. Copyright © 2021 Bedirhan Tarhan et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0 Copyright © 2021 Bedirhan Tarhan et al. 2021 |
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| References | 11 1 2 3 4 5 6 8 9 D. L. Brown (10) 2003; 68 J. H. Stokes (7) 1944; 67 |
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| SubjectTerms | Abdomen Autoimmune diseases Case Report Case reports Chlamydia Disease Gonorrhea Hepatitis Infections Lupus Lymphatic system Membranes Microscopy Mouth Patients Pediatrics Penicillin Syphilis Teenagers Tongue Womens health |
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| Title | An Unusual Visit from an Old Foe: Oral Presentation of Syphilis in a Teenage Patient |
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