Late Cardiovascular Syphilis

• Published in: Vestnik dermatologij i venerologij Vol. 93; no. 6; pp. 67 - 78
• Main Authors: Krasnosel’skikh, T. V., Sokolovskii, E. V., Lonshakova-Medvedeva, A. Yu, Petuhova, D. I.
• Format: Journal Article
• Language: English
• Published: State Scientific Center of Dermatovenereology and Cosmetology 01-02-2018
• Subjects: aortic aneurysm; aortic regurgitation; clinical and serological monitoring; combination of cardiovascular syphilis and neurosyphilis; echocardiography; late cardiovascular syphilis; syphilitic coronary ostial stenosis; syphilitic mesaortitis; treatment with ceftriaxone
• ISSN: 0042-4609; 2313-6294
• DOI: 10.25208/0042-4609-2017-93-6-67-78

A case of belatedly diagnosed late cardiovascular syphilis that had continued progressing despite two courses of ceftriaxone therapy is described. The patient had a combination of all possible complications of syphilitic mesaortitis including aortic regurgitation, coronary insufficiency, as well as fusiform aneurysm of the ascending aorta and the proximal aortic arch. Current issues of diagnosis and therapy of late cardiovascular syphilis are discussed.