title: Late syphilis in a cardiac transplant patient.
abstract: 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.
authors.affiliation: Division of Cardiology, New York Presbyterian Hospital-Weill Cornell Medical College, New York, New York 10021, USA. maf9003@med.cornell.edu
authors.forename: Maryjane
authors.initials: M
authors.lastname: Farr
authors.forename: Adam I
authors.initials: AI
authors.lastname: Rubin
authors.forename: Christina
authors.initials: C
authors.lastname: Mangurian
authors.forename: Brian
authors.initials: B
authors.lastname: Scully
authors.forename: David N
authors.initials: DN
authors.lastname: Silvers
authors.forename: Sameera
authors.initials: S
authors.lastname: Husain
authors.forename: Marc E
authors.initials: ME
authors.lastname: Grossman
authors.forename: Donna
authors.initials: D
authors.lastname: Mancini
mesh_terms: 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
chemical_list: D010401:Penicillin G Benzathine