三期梅毒的非典型表现

IF 3.8 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Radiology. Cardiothoracic imaging Pub Date : 2024-10-01 DOI:10.1148/ryct.230373
Paul Cholley, Julien Stievenart, Damien Fayard, Lucie Cassagnes
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引用次数: 0

摘要

梅毒是一种性传播感染,分为多个阶段。心血管受累是三期梅毒的一种表现,发生在原发感染后的 10 至 40 年间。作者介绍了一例表现不典型的三期梅毒病例,患者为 49 岁男性,因双侧一过性失明入院。对比增强 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、心肌梗死和多发性心内血栓。尸体解剖显示梅毒化验结果呈阳性,梅毒性大动脉炎的医学验尸结果也证实了这一点。关键词CT-血管造影 主动脉 心脏 血管 三级梅毒 © RSNA, 2024.
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Atypical Presentation of Tertiary Syphilis.

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. Keywords: CT-Angiography, Aorta, Cardiac, Vascular, Tertiary Syphilis © RSNA, 2024.

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