Sífilis cardiovascular: diagnóstico y tratamiento / Cardiovascular syphilis: diagnosis, treatment
Arch. cardiol. Méx
;
76(supl.4): S189-S196, oct.-dic. 2006.
Article
in Spanish
| LILACS
| ID: lil-568121
ABSTRACT
Cardiovascular tertiary syphilis may lead to aortitis, aortic aneurism, coronary stenosis, aortic insufficiency and, rarely, to myocarditis. The physician must be familiar with the clinical presentations of this process, including the asymptomatic variety and must be able to have an organized plan for the diagnosis and evaluation to establish or exclude the presence of cardiovascular pathology and the differential diagnosis with other entities. Once the etiologic and topographic diagnosis is established, the patient should be treated with penicillin, doxicycline and other antibiotics, and the consequences of the disorder, both actual and potential, should be considered before deciding weather to recommend surgical intervention. Although late syphilis can be prevented by appropriate therapy of early syphilis, this is a cardiovascular disease that most likely will continue to be diagnosed lately. Understanding of the pathology and pathophysiology of the disease, is most important for its prompt recognition and subsequent management. This paper reviews the natural history, diagnosis and therapy of cardiovascular syphilis.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Syphilis, Cardiovascular
Type of study:
Diagnostic study
/
Prevalence study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Arch. cardiol. Méx
Journal subject:
Cardiology
Year:
2006
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Hospital General de Zona y Medicina Familiar 2/MX
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