Revest M, Decaux O, Frouget T, Cazalets C, Cador B, Jégo P, Grosbois B. Les aortites syphilitiques. Expérience d'un service de médecine interne.
Rev Med Interne 2006;
27:16-20. [PMID:
16337718 DOI:
10.1016/j.revmed.2005.10.016]
[Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2005] [Accepted: 10/20/2005] [Indexed: 01/16/2023]
Abstract
INTRODUCTION
Infectious aortitis remains a rare disease. It is characterized by an endarteritis of infectious origin generally followed by the development of a so called mycotic aneurysm. Those infectious aneurysms account for 0.5 to 1.3% of all aortic aneurysms. Of the infectious agents, Treponema pallidum has a particular place. Cardiovascular syphilitic infection was very common at the beginning of the XX(th) century with a prevalence of 6.9% of all autopsies. In 1950-1960, the prevalence had decreased to less than 1%. Since 1990, syphilis was considered as disappeared.
EXEGESIS
we report syphilitic aortitis in four patients. Diagnosis, treatment, and prognosis are detailed.
CONCLUSION
A syphilitic infection of the aorta should be looked for in every patient suffering from an inflammatory or infectious disease of aorta.
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