Fulminant hepatitis in a patient with secondary syphilis

Syphilitic pancolitis: A case report with literature review

Syphilitic pancolitis is a rare clinical presentation of the spirochete Treponema pallidum; it can be misdiagnosed as inflammatory bowel disease. We report a case of symptomatic syphilitic pancolitis presenting with changes in bowel habit and typical risk factors. We also review previous case reports of syphilitic colitis.

Syphilitic Hepatitis: A Rare Cause of Acute Liver Injury

Syphilitic hepatitis represents a rare manifestation of treponemal infection. Diagnosis is achieved with the presence of characteristic syphilitic signs and symptoms along with positive serological markers, characteristic elevated liver enzymes, and no other alternative cause of hepatobiliary insult. Here we detail a case of a patient presenting with recently diagnosed secondary syphilis causing abnormal liver enzymes. With the increasing incidence of venereal diseases in the United States, this case highlights the importance of identifying syphilis as a differential diagnosis for acute liver injury.