title: [Bilateral ostial coronary lesion in cardiovascular syphilis: case report].
abstract: Syphilis is an infectious disease occurring through a series of frequently overlapping stages. It can impair the cardiovascular and neurological system. In 30% of the non treated patients, syphilis develops its tertiary form. We report a case of a 46-year-old male patient admitted due to edema pulmonary and acute coronary syndrome with left bundle branch block, submitted to fibrinolytic therapy successfully. Coronary angiography showed a 90% ostial lesion of left main coronary artery and occlusion of the right coronary artery ostium. VDRL was titrated to 1/128. The patient was undergone to CABG and was discharged after treatment with crystalline penicillin.
authors: Faculdade de Medicina de São José do Rio Preto-FAMERP, São José do Rio Preto, SP, Brasil. maunmac@gmail.com
authors: Mauricio de Nassau
authors: MN
authors: Machado
authors: Percival F
authors: PF
authors: Trindade
authors: Rafael Carlos
authors: RC
authors: Miranda
authors: Lilia Nigro
authors: LN
authors: Maia
mesh_terms: D002037:Bundle-Branch Block / Q000628:therapy; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011654:Pulmonary Edema / Q000628:therapy; D013589:Syphilis, Cardiovascular / Q000175:diagnosis* / Q000628:therapy