Primary syphilis of the tonsil; A case report.

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A 23-year-old male visited our department because of the right cervical node in the submandibular region. There was a 5 X 3 cm, elastic hard lymph node, which had limited mobility and was non-tender. On examination of the mouth, only the right tonsil was swollen, and its entire surface was smooth and marked by erythema. A tumor of the tonsil, such as malignant lymphoma, was suspected.At his second visit small ulcerative lesions were noted on the right tonsil. A more detailed medical history revealed that he had had oral sexual contact within the previous three weeks. Serological tests for sexually transmitted diseases (STD) were ordered and primary syphilis of the tonsil was diagnosed. He was administered bacampicillin (BAPC) for 5 weeks, the swelling of his cervical nodes and the right tonsil was reduced.As sexual activities have become diversified and oro-genital activity has become more common, the tonsils and the pharynx must be examined primary lesions of STD such as syphilis, gonorrhea, chlamydial infection and AIDS.
耳鼻咽喉科臨床学会の論文