Stomach syphylis / Монголын Анагаах Ухаан

ABSTRACT

A 39-year-old woman presented at InternalMedicine Department of Second Clinical Hospital withepigastric pain associated with nausea,anorexia, generalized malaise, and insomnia. She had no otherimportant symptoms, and her personaland family antecedents for gastrointestinal disorders,abdominalsurgery, other diseases, or previous hospitalizationwere negative. Physical examination was normalexceptfor mild abdominal tenderness in epigastrium.Upper endoscopy observed multiple erosions in antrum of stomach.(Figure 1). Gastric biopsieswereperformed, and histopathological analysis resulted in ulcerative changes. Laboratory investigationsrevealed normal hemoglobin,hematocrit, white blood cell count, and liver and kidneyfunction. Syphilisserologies were positive for TPHA and RPR. Based on laboratory and endoscopic findings GastricSyphilis was diagnosed.The patient was treated with 2.400.000 UI dose ofpenicillin, leading to resolution of his clinical complaintsand endoscopic findings (Figure 3).