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Congenital syphilis in Nebraska: a case report.
D F Frecentese1, J S Schreiman
1Department of Radiology, Creighton University School of Medicine, Omaha, Nebraska 68131.
The Nebraska Medical Journal
|October 1, 1991
Summary
Syphilis is rising, especially congenital syphilis, leading to severe infant health issues. Early diagnosis via X-rays can prevent complications when serology is pending.
Area of Science:
- Pediatrics
- Infectious Diseases
- Radiology
Background:
- Acquired syphilis incidence rose 34% in the US last decade.
- Congenital syphilis causes spontaneous abortions, stillbirths, and neonatal complications.
- Physician unfamiliarity leads to underdiagnosis of neonatal syphilis.
Observation:
- First reported case of congenital syphilis in Nebraska.
- Patient presented with lethargy, extremity swelling, and pseudoparalysis.
- Laboratory findings included anemia, elevated hepatic enzymes, and hypoproteinemia.
Findings:
- Neonatal VDRL and FTA-ABS confirmed syphilis.
- Radiographic survey revealed periostitis, metaphyseal banding, and cortical erosion.
- Long bone X-rays offer a prompt diagnostic tool.
Implications:
- Reacquainting physicians with syphilis is crucial.
- Timely diagnosis prevents devastating congenital syphilis complications.
- Radiography enables cost-effective, early diagnosis while awaiting serology.