title: Recurrent tamponade and aortic dissection in syphilis.
abstract: Syphilitic cardiovascular disease has been described since the 19th century, mainly on autopsy series. Major clinical manifestations are aortic aneurysm, aortic insufficiency, and coronary ostial stenosis. The diagnosis of syphilitic cardiovascular disease is based mainly on positive serologic tests and overt clinical manifestations. We present here a rare and unusual clinical presentation of a tertiary syphilis with recurrent tamponade and type B aortic dissection, whose positive diagnosis was made by polymerase chain reaction on pericardial fluid analysis.
authors.affiliation: Department of Vascular Medicine, European Hospital Georges Pompidou, Paris, France; PARCC IMSERM, University Paris Descartes, Paris, France. Electronic address: audrey.stansal@egp.aphp.fr.
authors.forename: Audrey
authors.initials: A
authors.lastname: Stansal
authors.forename: Tristan
authors.initials: T
authors.lastname: Mirault
authors.forename: Aude
authors.initials: A
authors.lastname: Rossi
authors.forename: Nicolas
authors.initials: N
authors.lastname: Dupin
authors.forename: Patrick
authors.initials: P
authors.lastname: Bruneval
authors.forename: Alain
authors.initials: A
authors.lastname: Bel
authors.forename: Arshid
authors.initials: A
authors.lastname: Azarine
authors.forename: Catherine
authors.initials: C
authors.lastname: Minozzi
authors.forename: Anne Laure
authors.initials: AL
authors.lastname: Deman
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Messas
mesh_terms: D000784:Aortic Dissection / Q000209:etiology*; D001014:Aortic Aneurysm / Q000209:etiology*; D002305:Cardiac Tamponade / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D013587:Syphilis / Q000150:complications*
keywords: 18