[A chancre instead of cancer]. / Geen kanker, maar een sjanker.
Ned Tijdschr Geneeskd
; 1632019 07 18.
Article
in Nl
| MEDLINE
| ID: mdl-31361406
ABSTRACT
BACKGROUND:
Syphilis (lues) is a sexually transmitted infection caused by the spirochete Treponema pallidum. In adolescents, the diagnosis of primary syphilis can be made promptly by taking a sexual medical history and inspecting the glans penis. CASE DESCRIPTION A 17-year-old male was referred to the paediatric oncology centre for additional diagnostics due to inguinal lymphadenopathy, with a strong suspicion of a malignant lymphoma. None of the physicians took a sexual medical history or investigated the glans penis, as a result of which essential information was lacking. The combination of inguinal lymphadenopathy and the ultrasound findings for the inguinal region made the physicians only consider a malignancy. However, it actually concerned a reactive lymphadenopathy associated with primary syphilis.CONCLUSION:
This case demonstrates that a full medical history and thorough physical examination can prevent the need for costly and invasive diagnostics.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Syphilis
/
Diagnostic Errors
/
Lymphadenopathy
/
Neoplasms
Type of study:
Diagnostic_studies
Limits:
Adolescent
/
Humans
/
Male
Language:
Nl
Journal:
Ned Tijdschr Geneeskd
Year:
2019
Type:
Article