出国劳务人员咽梅毒感染个案报道

    王俊贤

    四川国际旅行卫生保健中心，四川 成都 610041

    摘要：目的 研究梅毒传播途径及易感人群，减少梅毒感染率。方法对1例不明原因咽痛的出国劳务人员进行梅毒相关试验：甲苯胺红不加热血清试验(TRUST)；梅毒螺旋体血凝试验(TPPA)；口腔粘膜刮片暗视野螺旋体检查，以及流行病学调查。结果TRUST试验1/8滴度阳性,1/16滴度阴性；TPPA试验阳性；暗视野螺旋体检查阳性。确诊该患者感染梅毒，且出现咽梅毒症状。流行病学调查表明梅毒感染者为出国劳务人员；同性恋者，且有口交行为。结论梅毒是一种性传播疾病,临床症状多见于生殖器,偶尔可通过口交感染咽梅毒。因此，耳鼻咽喉科医生在诊疗患者时应加强对此类疾病的注意，避免因误诊而延误治疗。

    关键词：咽梅毒；出国；劳务人员

    中图分类号：R512.91　文献标识码：B

    A case report on pharyngeal Syphilis ofabroad labor

    WANG Jun-xian

    Sichuan International Travel Health CareCenter, Chengdu, Sichuan 610041,China

    Abstract:   Objective  To study the transmission way  and susceptible of syphilis,and to reduce  its infection.  Methods   Aseries of experiments  about  syphilis , TRUST, TPPA, andsyphilis spirochete check by oral mucosal smears under dark-fieldmicroscopy were adopted, Meamevhile, the epidemiological investigation was conducted.   Results   TRUST 1/8+,1/16-, TPPA+, syphilis spirochete found in oral mucosalsmears.  Diagnosis was pharyngeal Syphilis, and the male was agay who had oral sex during his labor abroad period. Conclusions   Syphilis is a sexually transmitteddisease，often found in reproductive organ , seldom in pharynx byoral sex .So the doctors ,especially the otolaryngology doctorsshould pay attention to pharyngeal syphilis, avoiding tomisdiagnosis.

    Key words:    Pharyngealsyphilis; Aboroad; Labor

    《中国国境卫生检疫杂志》