title: Syphilitic rectal ulcer associated with perforation of the hard palate: case report.
abstract: We report a case of a patient that presented with a perforated hard palate as a late complication due to an unsuspected syphilis. This disease first presented as a rectal ulcer which was misdiagnosed as an amebic proctitis. The patient received antiamebic treatment with a satisfactory outcome. He did not return for late control of the latter treatment and returned seeking medical advice six years later with the former complication. He tested positive for syphilis and appropriate treatment was performed. In addition, the ORL department recommended a palate prosthesis.
authors.affiliation: Digestive Diseases Institute, Esperanza Foundation, Guayaquil, Ecuador.
authors.forename: N A
authors.initials: NA
authors.lastname: Gómez
authors.forename: C J
authors.initials: CJ
authors.lastname: León
authors.forename: J E
authors.initials: JE
authors.lastname: Rojas
authors.forename: C A
authors.initials: CA
authors.lastname: Arévalo
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000382:microbiology; D010158:Palatal Obturators; D010159:Palate; D012002:Rectal Diseases / Q000382:microbiology*; D012812:Sigmoidoscopy; D013587:Syphilis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy