SciELO - Scientific Electronic Library Online

vol.38 issue4Severe infection by Strongyloides stercoralis in ascitic liquidRendez-Vous laparoendoscopic after ERCP failure in patient with Billroth II gastrectomy author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista de Gastroenterología del Perú

Print version ISSN 1022-5129


ALCANTARA FIGUEROA, Christian; NUNEZ CALIXTO, Nora; VARGAS CARDENAS, Gloria  and  CHIAN GARCIA, Cesar. Rectal syphilis in a HIV patient from Peru. Rev. gastroenterol. Perú [online]. 2018, vol.38, n.4, pp.381-383. ISSN 1022-5129.

We present the case of a 53-year-old male patient, a man who had sex with men. He described the presence of inguinal adenopathy and non-painful ulcer with indurated edges on his penis that heal spontaneously after 3 months. In the same period of time the patient presented: tenesmus, bleeding and rectal pain. In the proctoscopy was observed at the level of the rectum: deep ulcer with regular and indurated edges, ulcerated bed with abundant mucus; The rectal mucosa around the ulcer had multiple circumferential erosions 2-4 mm in diameter. The biopsy showed infiltration of lymphomonocollar cells and granulomas. The HIV ELISA test was positive, CD 4: 275 cel./uL, HIV viral load: 10 300 copies / ml, VDRL: Non-reactive, FTA-Abs: 1/10 (positive). Warthin-Starry staining was used in the rectal ulcer biopsy sample identifying spirochetes. After the administration of benzatinic Penicillin G, the symptoms and lesions in the rectal region were resolved. Likewise, antiretroviral treatment was initiated. Ulcerative and erosive proctitis is common in people living with HIV infection, however, it is rare to identify spirochetes in the biopsy sample.

Keywords : Syphilis; Rectum; HIV.

        · abstract in Spanish     · text in English     · English ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License