Ann Clin Case Rep | Volume 8, Issue 1 | Case Report | Open Access
El Mousaid M*
Meriem El Mousaid, Cardiology Service, CHU Ibn Rochd, Morocco
*Correspondance to: El Mousaid MFulltext PDF
Background: Tertiary syphilis and its cardiovascular complications have become rare in developed countries but still remain a concern in our countries. Cardiovascular damage frequently involves the aortic root and arch. Case Report: We report here a case of syphilitic aortic insufficiency in a 63-year-old female patient admitted to the cardiology department of the University Hospital of Casablanca. The clinical examination revealed stage II-III congestive heart failure, a quivering and diastolic murmur of significant aortic insufficiency confirmed by Doppler echocardiography, associated with anginal precordial pain. The skin examination showed syphilitic gum-like lesions with multiple locations. The electrocardiogram showed left ventricular hypertrophy with a Sokolow index of 44 millimeters and the frontal chest X-ray showed cardiomegaly with a cardiothoracic index of 0.65. The TPHAVDRL serology was positive. The clinical evolution under monitored penicillin therapy and specific treatment of heart failure was unfavorable. Conclusion: The discovery of aortic insufficiency in subjects over 60 years of age in our countries should lead to a search for tertiary syphilis by serology for adequate management.
El Mousaid M. Rare Case of Tertiary Syphilitic Aortitis. Ann Clin Case Rep. 2023; 8: 2394.