INTRODUCTION

In recent years, an increase in syphilis among men, who have sex with men (MSM), is noted in the literature.

OBJECTIVE

To analyze the clinical features of primary syphilis in subjects of this group and to give the recommendations for the diagnosis of this pathology.

RESULTS

Patients from MSM group typically have co-infection of syphilis/HIV. Reinfection with syphilis is characteristic. The typical localization of the primary manifestations of syphilis in patients in patients of this group is pharynx and rectum. Other STIs with similar localizations of clinical manifestations are common in history. Treponema Pallidum is generally not detected in the ulceration discharge in combination with other STIs. The group is characterized by a high incidence of STIs, high risk of infection and irresponsibility in the application of preventive measures.

CONCLUSION

Otolaryngologists and coloproctologists, to whom patients admit with ulcerative lesions of the pharynx and rectum should be alerted to syphilis and conduct appropriate clinical and laboratory examination for its elimination/confirmation. As there is a possibility of negative results for syphilis in PCR and RPR results may be negative or controversial in this group of patients, serological studies (NTT and TT) should be repeated, skin and mucous membranes’ examination should be conducted and PCR over time should be prescribed to detect STIs. Dermatovenerologists, otolaryngologists and coloproctologists, managing with syphilis/HIV co-infection patients, should receive mutual consulting assistance.