Aneurisma aórtico e insuficiencia valvular severa por sífilis terciaria en paciente joven, una enfermedad desatendida

Abstract

Syphilis is caused by Treponema pallidum and is recognized by the variety of its clinicalmanifestations; it involves the nervous, integumentary and cardiovascular systems. Cardiovascularalterations occur in 70% of cases with untreated syphilis, 71% of syphilitic aortitis develop aorticaneurysms and the most frequent complication is aortic insufficiency. Treatment is directed at theunderlying disease, with antibiotic treatment for tertiary syphilis and thromboemboliccomplications and if necessary surgical repair. We present a rare case of a patient diagnosed withhuman immunodeficiency virus infection and cardiovascular complications typical of tertiarysyphilis, who required medical and surgical treatment, which was successful. We highlight theclinical experience of our institution's professionals in the diagnosis and identification ofcardiovascular complications of tertiary syphilis