{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:36:56Z","timestamp":1777927016540,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2013,7,15]],"date-time":"2013-07-15T00:00:00Z","timestamp":1373846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:p>The varieties of luetic clinical variants are countless in nature. In this regard, an autopsy case of a 72-year-old homeless man who accidentally succumbed to carbon-monoxide poisoning is here presented and reviewed. The autopsy revealed the highly unusual finding of asymptomatic syphilitic necrosis of spleen followed by luetic mesaortitis, a solitary skin gumma, and syphilitic arthritis. The spleen was 8\u2009\u00d7\u20094\u2009\u00d7\u20093\u2009cm in size; the capsule was completely calcified and firm, 3 to 5\u2009mm thick. Only in the region of the hilus was a small part of preserved tissue found. After puncturing the capsule, a brown-yellowish pus-like mass was found which filled the entire space inside. When reviewing the relevant literature, this case and its finding of pan splenic necrosis accompanied by a calcified capsule seem to be unique in nature. In terms of the final diagnosis, a Treponema pallidum haemagglutination assay confirmed it to be syphilis. Since it was a late stage of the disease, it is estimated that it may have been present for more than 20 or 30 years in the deceased.<\/jats:p>","DOI":"10.1177\/0956462413490145","type":"journal-article","created":{"date-parts":[[2013,7,15]],"date-time":"2013-07-15T21:45:00Z","timestamp":1373924700000},"page":"912-915","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Asymptomatic syphilitic massive necrosis of the spleen in late syphilis"],"prefix":"10.1177","volume":"24","author":[{"given":"Nemanja","family":"Radojevic","sequence":"first","affiliation":[{"name":"Department of Forensic Medicine, Clinical Centre of Montenegro, Faculty of Medicine, University of Montenegro, Podgorica, Montenegro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filip","family":"Vukmirovic","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine, Clinical Centre of Montenegro, Faculty of Medicine, University of Montenegro, Podgorica, Montenegro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivana","family":"Curovic","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine, Clinical Centre of Montenegro, Faculty of Medicine, University of Montenegro, Podgorica, Montenegro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miodrag","family":"Soc","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine, Clinical Centre of Montenegro, Faculty of Medicine, University of Montenegro, Podgorica, Montenegro"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,7,15]]},"reference":[{"key":"bibr1-0956462413490145","doi-asserted-by":"publisher","DOI":"10.2807\/esm.09.12.00494-en"},{"key":"bibr2-0956462413490145","doi-asserted-by":"publisher","DOI":"10.2807\/esm.09.12.00493-en"},{"key":"bibr3-0956462413490145","doi-asserted-by":"publisher","DOI":"10.2807\/ese.13.50.19063-en"},{"key":"bibr4-0956462413490145","doi-asserted-by":"publisher","DOI":"10.1684\/ejd.2009.0646"},{"key":"bibr5-0956462413490145","unstructured":"Centers for Disease Control and Prevention.\n                      Syphilis \u2013 CDC Fact Sheet.\n                      www.cdc.gov\/std\/syphilis\/stdfact-syphilis.htm. 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