{"title":"Atypical Presentation of Tertiary Syphilis.","authors":"Paul Cholley, Julien Stievenart, Damien Fayard, Lucie Cassagnes","doi":"10.1148/ryct.230373","DOIUrl":null,"url":null,"abstract":"<p><p>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. <b>Keywords:</b> CT-Angiography, Aorta, Cardiac, Vascular, Tertiary Syphilis © RSNA, 2024.</p>","PeriodicalId":21168,"journal":{"name":"Radiology. Cardiothoracic imaging","volume":null,"pages":null},"PeriodicalIF":3.8000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiology. Cardiothoracic imaging","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1148/ryct.230373","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
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.
三期梅毒的非典型表现
梅毒是一种性传播感染，分为多个阶段。心血管受累是三期梅毒的一种表现，发生在原发感染后的 10 至 40 年间。作者介绍了一例表现不典型的三期梅毒病例，患者为 49 岁男性，因双侧一过性失明入院。对比增强 CT 成像显示胸主动脉炎伴颈动脉闭塞、冠状动脉狭窄、缺血性中风、心肌梗死和多发性心内血栓。尸体解剖显示梅毒化验结果呈阳性，梅毒性大动脉炎的医学验尸结果也证实了这一点。关键词CT-血管造影 主动脉 心脏 血管 三级梅毒 © RSNA, 2024.
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