Syphilis CT: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
Line 16: Line 16:
*Thickening or calcification appearing as contrast enhancement of aortic wall<ref name="pmid15259819">{{cite journal| author=Kimura F, Satoh H, Sakai F, Nishii N, Tohda J, Fujimura M et al.| title=Computed tomographic findings of syphilitic aortitis. | journal=Cardiovasc Intervent Radiol | year= 2004 | volume= 27 | issue= 2 | pages= 179-81 | pmid=15259819 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15259819  }} </ref><ref name="pmid19325064">{{cite journal| author=Agarwal PP, Chughtai A, Matzinger FR, Kazerooni EA| title=Multidetector CT of thoracic aortic aneurysms. | journal=Radiographics | year= 2009 | volume= 29 | issue= 2 | pages= 537-52 | pmid=19325064 | doi=10.1148/rg.292075080 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19325064  }} </ref>
*Thickening or calcification appearing as contrast enhancement of aortic wall<ref name="pmid15259819">{{cite journal| author=Kimura F, Satoh H, Sakai F, Nishii N, Tohda J, Fujimura M et al.| title=Computed tomographic findings of syphilitic aortitis. | journal=Cardiovasc Intervent Radiol | year= 2004 | volume= 27 | issue= 2 | pages= 179-81 | pmid=15259819 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15259819  }} </ref><ref name="pmid19325064">{{cite journal| author=Agarwal PP, Chughtai A, Matzinger FR, Kazerooni EA| title=Multidetector CT of thoracic aortic aneurysms. | journal=Radiographics | year= 2009 | volume= 29 | issue= 2 | pages= 537-52 | pmid=19325064 | doi=10.1148/rg.292075080 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19325064  }} </ref>
===Neurological===
===Neurological===
*Areas of decreased density suggesting cerebral infarction<ref name="pmid17628376">{{cite journal| author=Peng F, Hu X, Zhong X, Wei Q, Jiang Y, Bao J et al.| title=CT and MR findings in HIV-negative neurosyphilis. | journal=Eur J Radiol | year= 2008 | volume= 66 | issue= 1 | pages= 1-6 | pmid=17628376 | doi=10.1016/j.ejrad.2007.05.018 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17628376  }} </ref>
*Areas of decreased density suggesting cerebral infarction<ref name="pmid17628376">{{cite journal| author=Peng F, Hu X, Zhong X, Wei Q, Jiang Y, Bao J et al.| title=CT and MR findings in HIV-negative neurosyphilis. | journal=Eur J Radiol | year= 2008 | volume= 66 | issue= 1 | pages= 1-6 | pmid=17628376 | doi=10.1016/j.ejrad.2007.05.018 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17628376 }} </ref><ref name="pmid7611026">{{cite journal| author=Brightbill TC, Ihmeidan IH, Post MJ, Berger JR, Katz DA| title=Neurosyphilis in HIV-positive and HIV-negative patients: neuroimaging findings. | journal=AJNR Am J Neuroradiol | year= 1995 | volume= 16 | issue= 4 | pages= 703-11 | pmid=7611026 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7611026 }} </ref>
*Syphilitic [[gumma]] appear hypodense with precontrast
*Syphilitic [[gumma]] appear hypodense with precontrast
*Edema
*Focal or diffuse extraaxial enhancement
*Non-specific white matter lesions
===Bone===
===Bone===
*Lytic bone lesions in [[tibia]], [[acromion]], [[ribs]], and [[sacroiliac joint]]<ref name="pmid25239989">{{cite journal| author=Bezalely S, Jacob G, Flusser G, Ablin J| title=Syphilis: an unusual manifestation? | journal=BMJ Case Rep | year= 2014 | volume= 2014 | issue=  | pages=  | pmid=25239989 | doi=10.1136/bcr-2014-204871 | pmc=4170241 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25239989  }} </ref>
*Lytic bone lesions in [[tibia]], [[acromion]], [[ribs]], and [[sacroiliac joint]]<ref name="pmid25239989">{{cite journal| author=Bezalely S, Jacob G, Flusser G, Ablin J| title=Syphilis: an unusual manifestation? | journal=BMJ Case Rep | year= 2014 | volume= 2014 | issue=  | pages=  | pmid=25239989 | doi=10.1136/bcr-2014-204871 | pmc=4170241 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25239989  }} </ref>

Revision as of 14:20, 14 October 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Aysha Anwar, M.B.B.S[2]; Vishal Devarkonda, M.B.B.S[3]; Tarek Nafee, M.D. [4]

Sexually transmitted diseases Main Page

Syphilis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Syphilis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary and Secondary Syphilis
Latent Syphilis
Tertiary Syphilis
Neurosyphilis
HIV-Infected Patients
Pregnancy
Management of Sexual Partners

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Syphilis CT On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Syphilis CT

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Syphilis CT

CDC on Syphilis CT

Syphilis CT in the news

Blogs on Syphilis CT

Directions to Hospitals Treating Syphilis

Risk calculators and risk factors for Syphilis CT

Overview

CT scan is not diagnostic of syphilis. However, non-specific CT findings may demonstrate complications of syphilis including pulmonary, cardiac, neurological, gastrointestinal, and bone findings.[1][2][3][4][5][6]

CT

On CT scan, syphilis may present with various non-specific findings including:

Pulmonary

Cardiac

  • Double ring appearance of the aortic wall with a hyperdense outer rim and hypodense inner rim[2][3]
  • Thickening or calcification appearing as contrast enhancement of aortic wall[2][3]

Neurological

  • Areas of decreased density suggesting cerebral infarction[8][9]
  • Syphilitic gumma appear hypodense with precontrast
  • Focal or diffuse extraaxial enhancement
  • Non-specific white matter lesions

Bone

Gastrointestinal

  • Irregular rectal wall thickening (mimicking rectal carcinoma)[6]
  • Multiple peri-rectal lymph node enlargement (mimicking rectal carcinoma)[6]

Others

  • Perivascular fluid collection
  • Periaortic lymph node enlargement

References

  1. ↑ 1.0 1.1 1.2 1.3 Kim HJ, Seon HJ, Shin HH, Choi YD (2011). "Case report: Pulmonary syphilis mimicking pulmonary hematogenous metastases on chest CT and integrated PET/CT". Indian J Radiol Imaging. 21 (1): 34–7. doi:10.4103/0971-3026.76052. PMC 3056368. PMID 21431031.
  2. ↑ 2.0 2.1 2.2 Kimura F, Satoh H, Sakai F, Nishii N, Tohda J, Fujimura M; et al. (2004). "Computed tomographic findings of syphilitic aortitis". Cardiovasc Intervent Radiol. 27 (2): 179–81. PMID 15259819.
  3. ↑ 3.0 3.1 3.2 Agarwal PP, Chughtai A, Matzinger FR, Kazerooni EA (2009). "Multidetector CT of thoracic aortic aneurysms". Radiographics. 29 (2): 537–52. doi:10.1148/rg.292075080. PMID 19325064.
  4. ↑ 4.0 4.1 Bezalely S, Jacob G, Flusser G, Ablin J (2014). "Syphilis: an unusual manifestation?". BMJ Case Rep. 2014. doi:10.1136/bcr-2014-204871. PMC 4170241. PMID 25239989.
  5. ↑ 5.0 5.1 Huang I, Leach JL, Fichtenbaum CJ, Narayan RK (2007). "Osteomyelitis of the skull in early-acquired syphilis: evaluation by MR imaging and CT". AJNR Am J Neuroradiol. 28 (2): 307–8. PMID 17297001.
  6. ↑ 6.0 6.1 6.2 Cha JM, Choi SI, Lee JI (2010). "Rectal syphilis mimicking rectal cancer". Yonsei Med J. 51 (2): 276–8. doi:10.3349/ymj.2010.51.2.276. PMC 2824876. PMID 20191023.
  7. ↑ David G, Perpoint T, Boibieux A, Pialat JB, Salord H, Devouassoux M; et al. (2006). "Secondary pulmonary syphilis: report of a likely case and literature review". Clin Infect Dis. 42 (3): e11–5. doi:10.1086/499104. PMID 16392072.
  8. ↑ Peng F, Hu X, Zhong X, Wei Q, Jiang Y, Bao J; et al. (2008). "CT and MR findings in HIV-negative neurosyphilis". Eur J Radiol. 66 (1): 1–6. doi:10.1016/j.ejrad.2007.05.018. PMID 17628376.
  9. ↑ Brightbill TC, Ihmeidan IH, Post MJ, Berger JR, Katz DA (1995). "Neurosyphilis in HIV-positive and HIV-negative patients: neuroimaging findings". AJNR Am J Neuroradiol. 16 (4): 703–11. PMID 7611026.


Template:WikiDoc Sources

Retrieved from "https://www.wikidoc.org/index.php?title=Syphilis_CT&oldid=1261153"