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Chronic syphilitic aortic aneurysm complicated with chronic aortic dissection.

Abstract：

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.

journal_name

Am J Surg

journal_title

American journal of surgery

authors

Cruz RP,Marrone LC,Marrone AC

doi

10.1016/j.amjsurg.2010.02.017

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

e64-6

issue

5

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(10)00273-4

journal_volume

200

pub_type

杂志文章

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