Document Detail

Chronic syphilitic aortic aneurysm complicated with chronic aortic dissection.
MedLine Citation:
PMID:  20864080     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Historically, tertiary syphilis infection has been the most common cause of thoracic aortic aneurysm, resulting in 5% to 10% of cardiovascular deaths until the era of antibiotics.
METHODS: A 49-year-old Caucasian man presented to our institution with progressive dysphagia, weight loss, incomplete bladder emptying, alcohol and tobacco consumption, systemic arterial hypertension, Argyll Robertson pupil, leg paresthesias, and mediastinal widening. He was admitted to investigate clinical alterations. Thoracic computed tomography revealed an aortic aneurysm complicated with chronic aortic dissection from the ascending aorta to the iliac vessels with 2 communicating lumens. Cerebrospinal fluid examination tested positive for neurosyphilis in a venereal disease research laboratory test (titre 1/32).
RESULTS: Chronic syphilitic aortic aneurysm complicated with chronic aortic dissection was diagnosed.
CONCLUSIONS: This is a unique presentation of a syphilitic infection. Syphilitic aortitis, the hallmark of cardiovascular syphilis, has become rare and is hardly considered by today's clinicians in their differential diagnosis.
Ricardo Pedrini Cruz; Luiz Carlos Porcello Marrone; Antônio Carlos Huf Marrone
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-09-22
Journal Detail:
Title:  American journal of surgery     Volume:  200     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-08     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e64-6     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Surgery Department, Medical University of Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
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MeSH Terms
Aneurysm, Dissecting / diagnosis,  etiology*
Aneurysm, Infected / diagnosis,  etiology*
Antibodies, Bacterial / analysis
Aortic Aneurysm, Thoracic / diagnosis,  etiology*
Chronic Disease
Diagnosis, Differential
Follow-Up Studies
Middle Aged
Syphilis, Cardiovascular / complications*,  diagnosis
Tomography, X-Ray Computed
Treponema pallidum / immunology
Reg. No./Substance:
0/Antibodies, Bacterial

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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