Abstract
Syphilis is one of the unrecognized etiologies of liver dysfunction. The incidence of syphilitic hepatitis is currently unknown. We conducted a retrospective study of causative agents of liver dysfunction at the time of diagnosis of early syphilis. Our study shows that 39 % (44/112) of early syphilis patients have liver enzyme abnormalities at the time of diagnosis and that 2.7 % (3/112) of patients are diagnosed with syphilitic hepatitis. Clinicians should include syphilitic hepatitis in the differential diagnosis for those patients with sexually transmitted diseases presenting with liver enzyme abnormalities.
References
Adachi E, Koibuchi T, Okame M, Sato H, Imai K, Shimizu S, et al. Case of secondary syphilis presenting with unusual complications: syphilitic proctitis, gastritis, and hepatitis. J Clin Microbiol. 2011;49:4394–6.
Mullick CJ, Liappis AP, Benator DA, Roberts AD, Parenti DM, Simon GL. Syphilitic hepatitis in HIV-infected patients: a report of 7 cases and review of the literature. Clin Infect Dis. 2004;39:e100–5.
Fux CA, Rauch A, Simcock M, Bucher HC, Hirschel B, Opravil M, et al. Tenofovir use is associated with an increase in serum alkaline phosphatase in the Swiss HIV Cohort Study. Antivir Ther. 2008;13:1077–82.
Hashimoto E, Tokushige K. Prevalence, gender, ethnic variations, and prognosis of NASH. J Gastroenterol. 2011;46(suppl 1):63–9.
Lo JO, Harrison RA, Hunter AJ. Syphilitic hepatitis resulting in fulminant hepatic failure requiring liver transplantation. J Infect. 2007;54:e115–7.
Feher J, Somogyi T, Timmer M, Jozsa L. Early syphilitic hepatitis. Lancet. 1975;2:896–9.
Crum-Cianflone N, Weekes J, Bavaro M. Syphilitic hepatitis among HIV-infected patients. Int J STD AIDS. 2009;20:278–84.
Acknowledgments
This work was supported in part by a contract research fund from, the Ministry of Education, Culture, Sports, Science and Technology (MEXT) for Program of Japan Initiative for Global Research Network on Infectious Diseases, Global COE Program (Center of Education and Research for Advanced Genome-Based Medicine - For personalized medicine and the control of worldwide infectious diseases) of MEXT, Research on international cooperation in medical science, Research on global health issues, Health and Labor Science Research Grants, the Ministry of Health, Labor, and Welfare of Japan, Health and Labor Sciences Research Grants (No. H24-AIDS-002) from the Ministry of Health, Labor and Welfare, Japan.
Conflict of interest
The authors declare no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Adachi, E., Koibuchi, T., Okame, M. et al. Liver dysfunction in patients with early syphilis: a retrospective study. J Infect Chemother 19, 180–182 (2013). https://doi.org/10.1007/s10156-012-0440-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10156-012-0440-5