SciELO - Scientific Electronic Library Online

vol.75 número6The effect of off-axis seating on the marginal adaptation of full coverage all ceramic crowns índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados



Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Em processo de indexaçãoSimilares em Google


South African Dental Journal

versão On-line ISSN 0375-1562
versão impressa ISSN 0011-8516


TITINCHI, F; BEHARDIEN, N; MORKEL, J  e  OPPERMAN, J. Perforation of the palate - A report of two Syphilitic Gumma cases. S. Afr. dent. j. [online]. 2020, vol.75, n.6, pp.311-315. ISSN 0375-1562.

Syphilis has recently shown resurgence in its incidence especially in immune-compromised patients. We present two cases of tertiary syphilis in middle-aged males with large perforations in the hard and soft palates, one of which had Human Immunodeficiency Virus (HIV) co-infection. Diagnosis was initially difficult due to non-specific features mimicking other conditions such as perforation of cocaine abuse aetiology, neoplastic conditions, sarcoi-dosis, fungal infections, bacterial infections other than Treponema pallidum and Wegeners granulomatosis. With special investigations including Anti-Treponema Immunohistochemistry and histology, however, a definitive diagnosis of syphilitic gumma was reached. Intravenous penicillin was the mainstay of management along with treatment of the underlying medical conditions. A removable acrylic obturator was used to close the oro-nasal fistula to improve swallowing and speech. Syphilis should be included as a differential diagnosis in cases of palatal perforation.

Palavras-chave : Orofacial syphilis; Treponema pallidum; gumma; oronasal fistula.

        · texto em Inglês     · Inglês ( pdf )


Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons