Recent syphilis with oral manifestations

three case reports treated at a STD clinic

Authors

  • Salvador Darcy da Silva
  • Gloria Iara dos Santos Barros
  • Alexandre Marques Paes da Silva
  • Tegnus Vinicius Depes de Gouvêa
  • Carla Renata Petillo de Pinho
  • Antônio Canabarro
  • Luiz Carlos Moreira
  • Dennis de Carvalho Ferreira
  • Mauro Romero Leal Passos

Keywords:

oral manifestations, dentists, syphilis

Abstract

Introduction: The occurrence of sexually transmitted infections with oral manifestations, such as syphilis, remains a challenge in the era of rapid tests associated with an adequate clinical evaluation in the patients’ approach. Objective: To describe the clinical and laboratory aspects involved, from the diagnosis to prognosis, of three case reports of recent syphilis with oral manifestations attended at a university clinic in the city of Niteroi, Rio de Janeiro, Brazil. Case report: Three cases of recent syphilis with oral manifestations in the tongue region. The first one, a 38-year-old female patient who presented syphilis in regions of the body other than the oral cavity (case I); the second one, a 31-year-old male patient with oral ulcerative lesions with associated genital lesion (case II); and, finally, a 49-year-old female patient suspected of oral human papillomavirus (HPV) lesions, in which syphilis was confirmed after a long path to obtain her diagnosis (case III). All cases were laboratory tested at the time of diagnosis and received appropriate treatment and guidance. Conclusion: It was possible to observe through the present study that some situations need attention: evaluation of the oral cavity should occur concomitantly with the investigation of genital lesions; diagnosis hypothesis of occurrence of syphilis with oral manifestation should be considered in the clinical evaluation; oral lesions may present similar clinical manifestations, suggesting investigation of their possible infectious etiology.

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Author Biographies

Salvador Darcy da Silva

Master’s degree in Dental Science, Universidade Veiga de Almeida – Rio de Janeiro (RJ), Brazil.

Gloria Iara dos Santos Barros

Master’s degree in Health Education, Nursing School, Universidade Federal Fluminense – Niterói (RJ), Brazil.

Alexandre Marques Paes da Silva

PhD student in Dentistry (Endodontics), Universidade Estacio de Sa – Rio de Janeiro (RJ), Brazil.

Tegnus Vinicius Depes de Gouvêa

Sexually Transmitted Diseases Department, Universidade Federal Fluminense – Niterói (RJ), Brazil.

Carla Renata Petillo de Pinho

Dentistry Undergraduate School, Universidade Veiga de Almeida – Rio de Janeiro (RJ), Brazil.

Antônio Canabarro

Postgraduation Program in Dentistry, Universidade Veiga de Almeida – Rio de Janeiro (RJ), Brazil.

Luiz Carlos Moreira

Dentistry Undergraduate School, Universidade do Grande Rio – Rio de Janeiro (RJ), Brazil.

Dennis de Carvalho Ferreira

Postgraduation Program in Dentistry, Universidade Veiga de Almeida and Estacio de Sa University – Rio de Janeiro (RJ), Brazil.

Mauro Romero Leal Passos

Sexually Transmitted Diseases Department, Universidade Federal Fluminense – Niterói (RJ), Brazil.

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Published

2018-12-01

How to Cite

Silva, S. D. da, Barros, G. I. dos S., Silva, A. M. P. da, Gouvêa, T. V. D. de, Pinho, C. R. P. de, Canabarro, A., Moreira, L. C., Ferreira, D. de C., & Passos, M. R. L. (2018). Recent syphilis with oral manifestations: three case reports treated at a STD clinic. Brazilian Journal of Sexually Transmitted Diseases, 30(4), 137–141. Retrieved from https://bjstd.org/revista/article/view/840

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Section

Original Article