Keywords
Oral manifestations
Oral Medicine
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
This article sought to present the case of a 26-year-old male patient who came to the stomatology clinic for presenting multiple, painless, irregular, whitish lesions located in the oral cavity. He also had a visually enlarged and palpable lymph node in the submental region. With a clinical hypothesis of sexually trasmitted infection, complementary diagnostic tests were requested. The patient was positive for the screening test for Syphilis and the Mantoux test and was referred to the medical service for diagnostic confirmation and treatment. Subsequently, he underwent specific serological test that confirmed the diagnosis of Syphilis and ruled out other infections. The patient was treated with Penicillin G Benzatin and immediately after the first dose of the medication, he presented total regression of the lesions located in the mouth. Syphilis, even today, is a public health problem and a major challenge lies in the recognition of manifestations located in extragenital sites. Although the oral cavity is not the preferred site of involvement, it is a region of frequent involvement. Therefore, the detailed clinical examination associated with the request for serological tests cannot be neglected and the dentist must be able to recognize the suspected lesions of this infection.
References
ANGUS J, et al. As muitas faces da sífilis secundária: o ressurgimento de uma doença antiga. Clin Exp Dermatol., 2006; 31: 741-745.
AVELLEIRA CJR e BOTTINO G. Syphilis: diagnosis , treatment and control. An Bras Dermatol., 2006; 81(2): 111–126.
BRASIL. Sífilis: Estratégias para Diagnóstico no Brasil. Ministério da Saúde, 2010; 1°(1)°: 100.
BRASIL. Ministério da Saúde. Secretária de Vigilância em Saúde. Departamento de Vigilância, Prevenção e Controle das Infecções Sexualmente Transmissíveis do HIV/Aids e das Hepatites Virais (DIAHV). Boletim Epidemiológico de Sífilis. Brasil: Ministério, 2019.
CARMONA-LORDUY M, et al. Manifestaciones buçales de enfermidades de tranmisión sexual identificadas em tres servicios de estomatología em Sur América. Univer Salud, 2018; 20(1):82-88.
DE ANDRADE RS, et al. Oral findings in secondary syphilis. Medicina Oral Patologia Oral y Cirugia Bucal, 2018; 23(2); e138–e143.
EYER-SILVA WDA, et al. Secondary Syphilis Presenting as Glossodynia, Plaques en Prairie Fauchée, and a Split Papule at the Oral Commissure: Case Report and Review. Case Reports in Medicine, 2017; 2017; 1-5.
FRANCO ACM. O conhecimento dos formandos do curso de graduação em Odontologia de uma Universidade Pública de Pernambuco sobre DST/HIV/AIDS e medidas de biossegurança no ano de 2008. [Monografia]. Recife: Fundação Oswaldo Cruz; 2009
KALININ Y. Sífilis: aspectos clínicos, transmissão, manifestações orais, diagnóstico e tratamento. Odonto, 2016; 23(45): 65-76.
KENT ME e ROMANELLI F. Reexamining syphilis: an update on epidemiology, clinical manifestations, and management. Ann Pharmacother, 2008; 42: 22–36.
LITTLE JW. Syphilis: an update. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol, 2005; 100: 3–9.
ORTEGA KL, et al. Sífilis secundária em um paciente VIH positivo. Med. Oral Patol. Oral Cir. Bucal., 2004; 9(1): 33-38.
SEIBT C e MUNERATO MC. Secondary syphilis in the oral cavity and the role of the dental surgeon in STD prevention, diagnosis and treatment: a case series study. Brazilian Journal of Infectious Diseases, 2016: 20(4): 393–398.
SOLIS RN, et al. An Unusual Case of Tertiary Syphilis Behaving Like Tongue Squamous Cell Carcinoma. Journal of Investigative Medicine High Impact Case Reports. 2018; 6: 1-4.
SOUZA BC. Manifestações clínicas orais da sífilis. Revista Da Faculdade De Odontologia – UPF, 2017; 22(1): 82-85.
STREIGHT KL, et al. The oral manifestations of syphilitic disease: A case report. Journal of Medical Case Reports; 2019; 13(1): 4–6.
WHO. Guidelines for the Treatment of Treponema pallidum (syphilis). 2016
WHO. Estratégia global para o setor da saúde relativa a infecções sexualmente transmissíveis 2016-2021: Quadro de execução para a região africana; 2017; 6: 5–9.