Seuthe, Inga Marte Charlott, Eichhorn, Sabine, Kim, Jonghui ORCID: 0000-0003-3107-7951, van Ackeren, Konstantin, Park, Jonas Jae-Hyun, Dazert, Stefan and Klespe, Kai-Christian . Syphilis infection in the ENT area. Laryngo-Rhino-Otol.. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8685

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Abstract

The number of reported cases of syphilis has been increasing for years. The sexually transmitted disease is caused by the spirochete Treponema pallidum subspecies pallidum and progresses in different stages. Symptoms in the ENT area can occur in all stages. This means that a syphilis infection should always be considered by the ENT doctor as a differential diagnosis if the symptoms are suitable. Thus, with increasing oral sexual intercourse, the primary effect/hard chancre is more often observed in the oral cavity. In addition, symptoms can occur not only in the oral cavity, but also in the ear, nose, larynx, cervical and facial regions. The diagnosis is confirmed by direct pathogen detection or by serological detection. The spirochete cannot be cultivated. The therapeutic gold standard is the administration of benzathine penicillin G or procaine penicillin G. Doxycycline, macrolides or ceftriaxone are available as alternatives. In case of inner ear or cranial nerve involvement, the additional administration of a glucocorticoid is recommended. Before antibiotic therapy is administered, the patient must be informed about the possibility of a Jarisch-Herxheimer reaction. In cases of a syphilis infection, a collegial cooperation with the venereologists is always recommended so that an effective and comprehensive diagnosis and therapy can be carried out.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Seuthe, Inga Marte CharlottUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eichhorn, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kim, JonghuiUNSPECIFIEDorcid.org/0000-0003-3107-7951UNSPECIFIED
van Ackeren, KonstantinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Park, Jonas Jae-HyunUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dazert, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klespe, Kai-ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-671547
DOI: 10.1055/a-1808-7321
Journal or Publication Title: Laryngo-Rhino-Otol.
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1438-8685
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SEXUALLY-TRANSMITTED INFECTIONS; JARISCH-HERXHEIMER REACTION; TREPONEMA-PALLIDUM; HEARING-LOSS; OTOSYPHILIS; NEUROSYPHILIS; CARCINOMA; MANIFESTATIONS; PROPHYLAXIS; DOXYCYCLINEMultiple languages
OtorhinolaryngologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/67154

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