ArticleCase reports in otolaryngology2026
Oropharyngeal Syphilis Presenting as Tongue Base Ulcer With Lymphadenopathy.
Article in Case reports in otolaryngology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Oropharyngeal Syphilis Presenting as Tongue Base Ulcer With Lymphadenopathy.Case reports in otolaryngology · 2026Article
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4 authors.
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Abstract
Within the aerodigestive tract, syphilis presents with varied signs and symptoms, some of which may mimic malignancy or other disease processes. We present the case of a 29-year-old man with otalgia and odynophagia who was found on physical examination and office laryngoscopy to have a 4-cm ulcerative mass of the tongue base and cervical lymphadenopathy. While planning for tissue diagnosis, the patient's serologies revealed positive treponemal antibody testing and elevated rapid plasma reagin (RPR) titers, confirming syphilitic infection, likely representing secondary syphilis. While awaiting operative biopsy, the patient received intramuscular penicillin with complete resolution of the mass and symptoms, and ultimately operative intervention was deferred. While planning for biopsy of suspicious head and neck lesions, clinicians should consider infectious disease workups in patients with risk factors.
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