Late syphilis in a cardiac transplant patient.
Patients undergoing cardiac transplantation are routinely screened for prior exposure to Treponema pallidum, the bacterium implicated in syphilis. Although acute syphilis typically presents with a painless genital chancre, chronic syphilis can manifest in protean forms and linger undiagnosed. Left untreated, syphilis can cause multi-system disease, particularly irreversible neurologic damage. We describe a case of cutaneous secondary syphilis, neurosyphilis and luetic hepatitis in a cardiac transplant patient.
Farr
Maryjane
M
Division of Cardiology, New York Presbyterian Hospital-Weill Cornell Medical College, New York, New York 10021, USA. maf9003@med.cornell.edu
Rubin
Adam I
AI
Mangurian
Christina
C
Scully
Brian
B
Silvers
David N
DN
Husain
Sameera
S
Grossman
Marc E
ME
Mancini
Donna
D
D016027:Heart Transplantation; D006505:Hepatitis / Q000209:etiology; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009494:Neurosyphilis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D010401:Penicillin G Benzathine / Q000627:therapeutic use; D013591:Syphilis, Cutaneous / Q000175:diagnosis
D010401:Penicillin G Benzathine