Goma
Definición
Es una masa blanda de tejidos (granuloma) similar a un tumor que se presenta en personas con sífilis.
Causas
Una goma es causada por las bacterias que causan la sífilis y aparece durante la sífilis terciaria en etapa tardía. Generalmente, contiene una masa de tejido edematizado y muerto, de apariencia fibrosa y ocurre con mayor frecuencia en el hígado. También se puede presentar en:
Algunas veces, se presentan úlceras de apariencia similar con la tuberculosis.
Figures
Referencias
Tramont EC, Treponema pallidum (Syphilis). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 238.
Workowski KA, Berman S; Centers for Disease Control and Prevention (CDC). Sexually transmitted diseases treatment guidelines, 2010. MMWR Recomm Rep. 2010 Dec 17;59(RR-12):1-110.
Eckert LO, Lentz GM. Infections of the lower genital tract: Vulva, vagina, cervix, toxic shock syndrome, HIV infections. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 22.
Revision
Last reviewed 9/12/2011 by Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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