Syphilitic Aortitis with Concomitant Neurosyphilis in Asymptomatic Patient.

We report a rare case of syphilitic aortitis with possible neurosyphilis in an asymptomatic 89-year-old man in Washington, DC, USA. This case highlights the need to consider emerging infectious causes of aortitis, even in patients without classic risk factors, by using multimodality imaging with confirmatory serologic and cerebrospinal fluid testing.