RT Journal Article SR Electronic T1 Secondary syphilis presenting with aortitis and coronary ostial occlusion JF Sexually Transmitted Infections JO Sex Transm Infect FD BMJ Publishing Group Ltd SP 108 OP 109 DO 10.1136/sextrans-2015-052247 VO 92 IS 2 A1 John A Chadwick A1 Anita MacNab A1 Jaydeep Sarma A1 Simon Ray A1 Isaac Kadir A1 Eavan G Muldoon YR 2016 UL http://sti.bmj.com/content/92/2/108.abstract 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.