Abstract：
Syphilitic hepatitis is a very rare presentation of syphilis infection, characterized by inflammation of the liver due to the invasion of hepatic tissue by the bacterium Treponema pallidum. This review article provides an in-depth analysis of the existing body of information pertaining to syphilitic hepatitis. The article primarily concentrates on key aspects such as the epidemiology, clinical manifestations, diagnostic methods, and therapeutic approaches associated with this condition. Despite its rarity, awareness of syphilitic hepatitis is vital for accurate diagnosis and appropriate intervention. The clinical presentations frequently exhibit similarities with many liver illnesses, hence presenting difficulties in making an accurate diagnosis. Common symptoms include fatigue, stomach pain, and jaundice. Diagnostic procedures encompass the use of serological assays, including rapid plasma reagin (RPR) and fluorescent treponemal antibody absorption (FTA-ABS), in conjunction with imaging modalities to evaluate hepatic engagement. The primary therapeutic approach is the prompt initiation of antibiotic therapy, with a particular emphasis on penicillin, to eradicate the causative bacterial infection and facilitate the restoration of liver function. Failure to swiftly manage this condition may result in substantial morbidity. In summary, syphilitic hepatitis is a very uncommon but medically relevant manifestation of syphilis infection. The significance of increased clinical suspicion, precise diagnostic techniques, and prompt antibiotic administration is emphasized in this review since these are crucial in reducing the potentially severe outcomes associated with this illness.
摘要：
梅毒性肝炎是梅毒感染的一种非常罕见的表现，特征在于由于细菌梅毒螺旋体侵入肝组织而引起的肝脏炎症。这篇综述文章提供了有关梅毒性肝炎的现有信息的深入分析。这篇文章主要集中在关键方面，如流行病学，临床表现，诊断方法,以及与这种情况相关的治疗方法。尽管它很罕见,对梅毒性肝炎的认识对于准确诊断和适当干预至关重要。临床表现通常与许多肝病相似，因此很难做出准确的诊断。常见的症状包括疲劳，胃痛,和黄疸。诊断程序包括使用血清学测定，包括快速血浆反应蛋白（RPR）和荧光螺旋体抗体吸收（FTA-ABS），结合成像方式评估肝脏接合。主要的治疗方法是迅速开始抗生素治疗，特别强调青霉素，根除致病菌感染，促进肝功能恢复。未能迅速控制这种情况可能会导致大量的发病率。总之,梅毒性肝炎是梅毒感染的一种非常罕见但医学上相关的表现。增加临床怀疑的意义，精确的诊断技术，本综述强调及时使用抗生素,因为这些对于降低与该疾病相关的潜在严重结局至关重要.
