10 cases misdiagnosed as purulent tonsillitis Clinical analysis of patients with syphilis.docVIP

 PAGE \* MERGEFORMAT 7 10 cases misdiagnosed as purulent tonsillitis Clinical analysis of patients with syphilis [Abstract] Objective: To better identify syphilis and purulent tonsillitis tonsils, reduce the misdiagnosis rate. METHODS: The clinical symptoms and signs, laboratory tests, pathology and other methods of diagnosis and treatment. Results: The regular follow-up inspection , 3 patients were followed up for 12 months to negative RPR, RPR-positive in 6 cases, but titers were gradually decreased, and only 1 case in the first 9 months RPR titer higher than before, questioning history, consider again not cleaning contacts, secondary syphilis relapse. Conclusions: The clinical diagnosis of syphilis tonsil clear, so early, adequate, regular treatment, but also to actively partner checked and treated to reduce the misdiagnosis rate. [Keywords:] syphilis; tonsillitis; Misdiagnosis In recent years, sexually transmitted diseases (STD) trends in the incidence of syphilis increased year by year, occur in isolation in the mouth, pharynx, tonsils of syphilis reported from time to time, and many patients are first diagnosed in the ENT and was misdiagnosed as herpes angina, aphthous stomatitis, purulent tonsillitis and other cases have occurred, the following in recent years has been misdiagnosed as purulent tonsillitis A clinical analysis of 10 patients. 1 Materials and Methods 1.1 Clinical data from January 2006 to December 2009 with chief complaint of sore throat during the first ENT outpatient clinic in our hospital a total of 10 cases of syphilis patients, were diagnosed as purulent tonsillitis, outpatient treatment is not Jia, recurrent income from the hospital for elective outpatient surgery patients. preoperative routine laboratory tests after admission infection 4, found that Treponema pallidum hemagglutination (TPHA) 10 patients were positive, further tests were rapid plasma reagin circle card test ( RPR) 8 cases were positive. questioning hist