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2001, Number 4

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Enf Infec Microbiol 2001; 21 (4)

Congenital syphilis. A case report

Ávila-Reyes R, Yunes-Zárraga JLM, Méndez-López EC, Cadena-Gutiérrez FA, Camacho-Ramírez RI, Fonz-Aguilar CA, Velázquez-Quintana NI

Language: Spanish
References: 12
Page: 115-122
PDF size: 118.91 Kb.


ABSTRACT

Introduction. Congenital syphilis is a disease caused by Treponema pallidum, its clinical manifestations may vary and judicious employment of the immunological test may play an important part in establishing diagnosis.
Case report. Extremely very low weight at birth infant premature, had radiological changes in metaphysis of the large bones of both legs. Non-treponemical test and treponemical ones (VDRL/FTA-ABS) were positive in both mother and child. At the face of these facts. The presumptive diagnosis of congenital syphilis was made. Treatment with penicillin was started and continued for fourteen days. Baby was discharged from hospital in good conditions.
Discussion. Congenital syphilis is a complex disease, because infect newborn often do not develop sign or symptoms at birth, if the latter is present can be misleading and associated with other congenital disease. Non-treponemical tests are useful for initial diagnosis and treponemical test are confirmatory of the presence of the disease. Acuous penicillin is still the treatment of choice.


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