Assuntos
Neoplasias do Ânus/patologia , Neoplasias Laríngeas/patologia , Neoplasias Primárias Múltiplas/patologia , Papiloma/patologia , Neoplasias do Ânus/cirurgia , Condiloma Acuminado/tratamento farmacológico , Condiloma Acuminado/patologia , Feminino , Neoplasias dos Genitais Femininos/tratamento farmacológico , Neoplasias dos Genitais Femininos/patologia , Humanos , Lactente , Neoplasias Laríngeas/cirurgia , Neoplasias Primárias Múltiplas/cirurgia , Papiloma/cirurgia , Podofilina/uso terapêuticoRESUMO
PIP: A case of nonvenereal acquisition of syphilis in a 2.5 year old male Indian child is discussed. The child had condylomata lata around the anal and prepuce, with enlarged nontender inguinal lymph nodes. Treponema pallidum was found in material from both lesions, and both the VDRL and FTA-Abs tests were positive. There were not other significant findings. The patient was treated with 1.2 million units of benzathine penicillin im, and the lesions resolved in 7 days. This boy had been raised by his grandparents since the age of 6 months. They did not report a primary syphilitic lesion, but the grandmother did admit to kissing the child's genitals, a custom of affection toward babies in the area. Sexual abuse was denied. The grandmother had a buccal lesion, which showed a Treponema on darkfield microscopy, and she had positive syphilis serology. both grandparents were also treated.^ieng
