FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3208314093> ?p ?o ?g. }

• W3208314093 endingPage "S789" @default.
• W3208314093 startingPage "S789" @default.
• W3208314093 abstract "Introduction: Syphilis also known as the great imitator is a range of symptoms brought on by the organism Treponema pallidum. Overall, the rates of syphilis infections in the United States have risen yearly since 2001. Syphilis infection is classified as primary, secondary, tertiary, latent and late latent. A rare manifestation of primary/secondary syphilis can include rectal pain, bleeding, ulcers, and even inflammatory masses. The incidence of rectal syphilis is unknown, but risk factors typically include unsafe anal sex, HIV, and potentially rectal douching. It is typically initially misdiagnosed as rectal cancer or IBD due to its low incidence. Therefore, we present a case of a young female who presented with painful hematochezia and was subsequently diagnosed with rectal syphilis. Case Description/Methods: A 37 year old female with a past medical history of opioid abuse who presented for 2 days of painful hematochezia. Of note she resided in a psychiatric group home, and on admission denied any pertinent sexual history. CT scan on admission was notable for rectal wall thickening and mesenteric lymphadenopathy, concerning for rectal tumor vs proctitis. Colonoscopy was done and revealed rectal mucosal ulceration and an area of abnormal, friable, raised mucosa which was biopsied. Her post procedure course was uneventful, and she was discharged with plans for outpatient follow-up. Pathology was consistent with Treponema pallidum. The patient was contacted, and the was started on treatment for syphilis. Discussion: Rectal involvement of syphilis is an easily missed diagnosis. One major challenge is the variety of presentations it may have. Usually, the disease is asymptomatic and painless; however, primary syphilis of the rectum can be painful, cause tenesmus or urgency, and even present with mucoid or bloody stools. Mass like lesions have also been described the literature. Imaging is typically nonspecific. For these reasons people who present with primary syphilis are often initially thought to have IBD or rectal cancer. Endoscopy is helpful for diagnosis; and the described endoscopic presentations include ulcers, proctitis or masses. The diagnosis of rectal syphilis can be confirmed with biopsy. With the rising rates of primary/secondary syphilis in the United States, this particular entity will likely rise as well. Lessons learned from this case include reinforcing the importance of a detailed sexual history for patients who present with hematochezia or are found to have a rectal ulcer.Figure 1.: Endoscopic image of the rectum." @default.
• W3208314093 created "2021-11-08" @default.
• W3208314093 creator A5005734927 @default.
• W3208314093 creator A5021622372 @default.
• W3208314093 creator A5077946519 @default.
• W3208314093 date "2021-10-01" @default.
• W3208314093 modified "2023-09-27" @default.
• W3208314093 title "S1787 An Unexpected Cause of Hematochezia" @default.
• W3208314093 doi "https://doi.org/10.14309/01.ajg.0000780680.40886.86" @default.
• W3208314093 hasPublicationYear "2021" @default.
• W3208314093 type Work @default.
• W3208314093 sameAs 3208314093 @default.
• W3208314093 citedByCount "0" @default.
• W3208314093 crossrefType "journal-article" @default.
• W3208314093 hasAuthorship W3208314093A5005734927 @default.
• W3208314093 hasAuthorship W3208314093A5021622372 @default.
• W3208314093 hasAuthorship W3208314093A5077946519 @default.
• W3208314093 hasBestOaLocation W32083140931 @default.
• W3208314093 hasConcept C120665830 @default.
• W3208314093 hasConcept C121332964 @default.
• W3208314093 hasConcept C121608353 @default.
• W3208314093 hasConcept C126322002 @default.
• W3208314093 hasConcept C141071460 @default.
• W3208314093 hasConcept C159047783 @default.
• W3208314093 hasConcept C2776983459 @default.
• W3208314093 hasConcept C2778435480 @default.
• W3208314093 hasConcept C2779797108 @default.
• W3208314093 hasConcept C2780187896 @default.
• W3208314093 hasConcept C2780955771 @default.
• W3208314093 hasConcept C2781054515 @default.
• W3208314093 hasConcept C2910147798 @default.
• W3208314093 hasConcept C3013748606 @default.
• W3208314093 hasConcept C526805850 @default.
• W3208314093 hasConcept C61511704 @default.
• W3208314093 hasConcept C71924100 @default.
• W3208314093 hasConceptScore W3208314093C120665830 @default.
• W3208314093 hasConceptScore W3208314093C121332964 @default.
• W3208314093 hasConceptScore W3208314093C121608353 @default.
• W3208314093 hasConceptScore W3208314093C126322002 @default.
• W3208314093 hasConceptScore W3208314093C141071460 @default.
• W3208314093 hasConceptScore W3208314093C159047783 @default.
• W3208314093 hasConceptScore W3208314093C2776983459 @default.
• W3208314093 hasConceptScore W3208314093C2778435480 @default.
• W3208314093 hasConceptScore W3208314093C2779797108 @default.
• W3208314093 hasConceptScore W3208314093C2780187896 @default.
• W3208314093 hasConceptScore W3208314093C2780955771 @default.
• W3208314093 hasConceptScore W3208314093C2781054515 @default.
• W3208314093 hasConceptScore W3208314093C2910147798 @default.
• W3208314093 hasConceptScore W3208314093C3013748606 @default.
• W3208314093 hasConceptScore W3208314093C526805850 @default.
• W3208314093 hasConceptScore W3208314093C61511704 @default.
• W3208314093 hasConceptScore W3208314093C71924100 @default.
• W3208314093 hasIssue "1" @default.
• W3208314093 hasLocation W32083140931 @default.
• W3208314093 hasLocation W32083140932 @default.
• W3208314093 hasOpenAccess W3208314093 @default.
• W3208314093 hasPrimaryLocation W32083140931 @default.
• W3208314093 hasRelatedWork W2092978159 @default.
• W3208314093 hasRelatedWork W2373491085 @default.
• W3208314093 hasRelatedWork W2374813683 @default.
• W3208314093 hasRelatedWork W2510747270 @default.
• W3208314093 hasRelatedWork W2636639861 @default.
• W3208314093 hasRelatedWork W2889325943 @default.
• W3208314093 hasRelatedWork W2978000269 @default.
• W3208314093 hasRelatedWork W2979039135 @default.
• W3208314093 hasRelatedWork W2980247472 @default.
• W3208314093 hasRelatedWork W4327557700 @default.
• W3208314093 hasVolume "116" @default.
• W3208314093 isParatext "false" @default.
• W3208314093 isRetracted "false" @default.
• W3208314093 magId "3208314093" @default.
• W3208314093 workType "article" @default.