Aneurisma aórtico sifilítico en la era antibiótica, una vieja enfermedad con nueva historia.
DOI:
https://doi.org/10.29166/ciencias_medicas.v42i1.1583Keywords:
aneurysm, abdominal aortic aneurysm, syphilis, terciary syphilis, syphilitic aortitisAbstract
Abdominal aortic aneurysms occur in 5% to 10% of men between 65 and 79 years of age. It has a multicausal pathology that ultimately destroys the tunica media and alters the conformation of the collagen fibers of the arterial wall. The main causes include atherosclerosis, hereditary diseases (such as Marfan syndrome), inflammatory pathologies and low prevalence of infectious agents (Salmonella, staphylococcus, Mycobacterium tuberculosis and Treponema pallidum). We present the case of a patient with an aneurysm of syphilitic origin, considered a medical rarity in developed countries. There are no reports in the country on cases of cardiovascular tertiary syphilis. It is complemented with a scientific literature review of epidemiology, clinical diagnosis and management.
Downloads
Metrics
References
Gross ÇG, Flaig B, Rode S. Syphilis. Part 1: Introduction, pathology and clinical aspects. Hautarzt 2013; 64(10):771-88.
Stone JR, Bruneval P, Angelini A, Bartolini G, Basso C, Batoroeva L, et al. Consensus statement on surgical pathology of the aorta from the Society for Cardiovascular Pathology and the Association for Europan Cardiovascular Pathology. I. Inflammatory diseases. Cardiovasc Pathol 2015 May 16. pii: S1054-8807(15)00056-3. doi: 10.1016/j.carpath.2015.05.001
French P, Gomberg M, Janier M, Schmidt B, Voorst Vader P, Young H. IUSTI: 2008 European guidelines on the management of syphilis. International J of STD and AIDS 2009; 20:300-309.
Luneva E, Malev E, Rizhkov A, Pakhornov A. Giant syphilitic aortic aneurysm. Eur J Cardiothorac Surg 2014; 45(2):392.
Carrada B. Cardiovascular syphilis: diagnosis, treatment. Arch Cardiol Mex 2006; 76(4S):189-96.
Mosrshed MG, Singh AE. Recent trends in the serologic diagnosis of syphilis. Clin Vaccine Inmunol 2015; 22(2):137-47.
Tipple C, Taylor GP. Syphilis testing, typing, and treatment follow-up: a new era for and old disease. Curr Opin Infect Dis 2015; 28(1):53-60.
Tomey MI, Murthy VL, Beckman JA. Giant syphilitic aortic aneurysm. A case report and review of the literature. Vasc Med 2011; 16(5):360.364
Paulo N, Cascarejo J, Vouga L. Syphilitic aneurysm of the ascending aorta. Int Cardiovasc and Thorac Surg 2011; 14(2012):223-225.
Saraiva RS, César CA, Mello MA. Syphilitic aortitis: diagnosis and treatment. Case report. Rev Bras Cir Cardiovasc 2010; 25(3):415-418.
Shinde RS, Mantur BG, Walvekar RR, Parande MV, et al. Syphilitic aneurysm. A case report. Indian J Sex Transm Dis 2012; 33(2):145-146.