From the Departments of Radiology (P.C., L.C.) and Internal Medicine (J.S., D.F.), University Hospital Gabriel Montpied, 58 rue Montalembert, F-63000 Clermont-Ferrand, France; and Department of Radiology, Institut Pascal, TGI, UMR6602 CNRS SIGMA Université Clermont Auvergne, Clermont-Ferrand, France (L.C.).
Radiol Cardiothorac Imaging. 2024 Oct;6(5):e230373. doi: 10.1148/ryct.230373.
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. CT-Angiography, Aorta, Cardiac, Vascular, Tertiary Syphilis © RSNA, 2024.
梅毒是一种性传播感染，具有多个阶段。心血管受累是三期梅毒的表现，发生在初次感染后 10 至 40 年。作者报告了一例 49 岁男性患者的三期梅毒不典型表现，该患者因双侧短暂失明而入院。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、心肌梗死和多个心内血栓。尸检显示梅毒实验室检查结果阳性，梅毒性主动脉炎的医学尸检结果也证实了这一点。CT 血管造影、主动脉、心脏、血管、三期梅毒
