Abstract
Syphilitic aortic aneurysm is a rare occurrence in the antibiotic era, making the diagnose assumption even more infrequent. Nonetheless, this pathology can appear and should be suspected in patients with aortic aneurysm. We report a case of a 57-year old patient who presents with neurosyphilis and, in the following study, a large ascending aorta aneurysm is identified. The authors discuss the diagnostic challenge, the epidemiologic concerns, surgical indication and treatment and subsequent follow-up.
MeSH terms
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Aneurysm, Infected / diagnostic imaging
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Aneurysm, Infected / microbiology*
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Aneurysm, Infected / surgery
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Anti-Bacterial Agents / therapeutic use
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Aortic Aneurysm / diagnostic imaging
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Aortic Aneurysm / microbiology*
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Aortic Aneurysm / surgery
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Aortography / methods
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Blood Vessel Prosthesis Implantation
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Humans
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Middle Aged
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Neurosyphilis / drug therapy
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Neurosyphilis / microbiology*
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Syphilis, Cardiovascular / diagnostic imaging
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Syphilis, Cardiovascular / microbiology*
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Syphilis, Cardiovascular / surgery
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Tomography, X-Ray Computed
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Treatment Outcome
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Treponema pallidum / isolation & purification*
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Uricosuric Agents / therapeutic use
Substances
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Anti-Bacterial Agents
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Uricosuric Agents