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Article Synopsis
  • Venereal syphilis, caused by the bacteria Treponema pallidum, can escalate to serious complications like tertiary syphilis, which affects the heart decades after the initial infection.
  • A case study highlights a 46-year-old woman who developed life-threatening cardiac issues, including an ascending aortic aneurysm and severe aortic valve damage, due to untreated late-stage syphilis.
  • She underwent surgery to repair her aorta and replace the damaged valve, receiving antibiotics and intensive care; her recovery was satisfactory with no complications reported three months later.
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Treponema Pallidum: A Forgotten Pathogen With Major Cardiovascular Consequence.

JACC Case Rep

November 2024

Division of Cardiology, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California, USA.

Article Synopsis
  • The rate of syphilis cases has risen significantly over the past 20 years.
  • This case study discusses a 43-year-old man who presented with an aortic aneurysm and aortic regurgitation, initially thought to be a congenital issue.
  • Eventually, it was confirmed that the aortic problems were due to tertiary syphilis, highlighting the importance of considering syphilis as a potential cause of heart-related conditions.
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Successful open repair of syphilitic thoracoabdominal aneurysm.

J Vasc Surg Cases Innov Tech

October 2024

Departments of Vascular and Endovascular and Cardiothoracic Surgery, Baylor Scott & White The Heart Hospital Plano, Plano, TX.

Most syphilitic aneurysms involve the ascending aorta. Those involving the descending aorta are less common, and those involving the abdominal aorta are unusual. Rarer yet, we present the case of a 40-year-old man with HIV and a history of syphilis with a thoracoabdominal aneurysm.

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This case report revolves around a 73-year-old male patient who initially sought medical attention due to left lower extremity weakness. Suspicions of a potential vascular etiology arose during the initial clinical examination, prompting further investigation. Unexpectedly, computed tomography (CT) imaging of the abdomen and pelvis revealed the presence of three giant aneurysms.

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Syphilitic aortitis is a rare disease caused by Treponema pallidum affecting the aorta and leading to inflammation. Syphilitic aortitis is one of the causes of aortic aneurysms. This article presents surgical treatment of a patient with syphilitic aortitis and thoracic aortic aneurysm.

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