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Updated: Jul 2, 2026

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
Published on: April 7, 2015
[Bilateral ostial coronary lesion in cardiovascular syphilis: case report]
Mauricio de Nassau Machado1, Percival F Trindade, Rafael Carlos Miranda
1Faculdade de Medicina de São José do Rio Preto-FAMERP, São José do Rio Preto, SP, Brasil. maunmac@gmail.com
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.
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