PT - JOURNAL ARTICLE AU - John A Chadwick AU - Anita MacNab AU - Jaydeep Sarma AU - Simon Ray AU - Isaac Kadir AU - Eavan G Muldoon TI - Secondary syphilis presenting with aortitis and coronary ostial occlusion AID - 10.1136/sextrans-2015-052247 DP - 2016 Mar 01 TA - Sexually Transmitted Infections PG - 108--109 VI - 92 IP - 2 4099 - http://sti.bmj.com/content/92/2/108.short 4100 - http://sti.bmj.com/content/92/2/108.full SO - Sex Transm Infect2016 Mar 01; 92 AB - Aortitis is an established manifestation of tertiary syphilis. We report a rare case of aortitis with ostial occlusion and left ventricular failure in secondary syphilis. Her management required a true multidisciplinary approach from multiple specialities due to complications of concomitant psychosis and a history of anaphylaxis to penicillin. This case illustrates the complexities of diagnosing and managing a rare presentation of this increasingly prevalent infection.