Article Dans Une Revue Radiology: Cardiothoracic Imaging Année : 2024

Atypical Presentation of Tertiary Syphilis

Paul Cholley
Julien Stievenart
Damien Fayard
Lucie Cassagnes

Résumé

Syphilis is a sexually transmitted infection characterized by multiple stages. Cardiovascular involvement is a manifestation of tertiary syphilis, occurring between 10 and 40 years after the primary infection. The authors present a case of atypical presentation of tertiary syphilis in a 49-year-old male patient who was admitted to the hospital with bilateral transient loss of vision. Contrast-enhanced CT imaging revealed thoracic aortitis with carotid occlusion, coronary artery stenosis, ischemic stroke, myocardial infarction, and multiple intracardiac thrombi. A postmortem autopsy revealed positive laboratory results for syphilis, which was corroborated by medical autopsy findings of syphilitic aortitis. Keywords: CT-Angiography, Aorta, Cardiac, Vascular, Tertiary Syphilis © RSNA, 2024

Dates et versions

hal-04870769 , version 1 (07-01-2025)

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Paul Cholley, Julien Stievenart, Damien Fayard, Lucie Cassagnes. Atypical Presentation of Tertiary Syphilis. Radiology: Cardiothoracic Imaging, 2024, 6 (5), pp.e086686. ⟨10.1148/ryct.230373⟩. ⟨hal-04870769⟩
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