Resurgence of congenital syphilis: diagnosis and treatment

Tara Follett1, Denise F Clarke

  • 1Northern Alberta Neonatal Intensive Care Program at the Stollery Children's Hospital, Alberta, Canada. tara.follett@albertahealthservices.ca

Neonatal Network : NN
|August 18, 2011
PubMed

Insights

Congenital syphilis remains a public health issue despite screening. Early diagnosis and penicillin G treatment in neonates lead to favorable outcomes and declining infection markers.

Area of Science:

  • Neonatology
  • Infectious Diseases
  • Public Health

Background:

  • Congenital syphilis poses significant risks, including severe morbidity and adverse outcomes, despite available screening and treatment.
  • This review covers etiology, presentation, diagnosis, and management of congenital syphilis.

Observation:

  • A case of a 31-week male infant exposed to syphilis in utero is presented.
  • The neonate exhibited classic signs of congenital syphilis at birth.

Findings:

  • Infant diagnosis was confirmed via serology, followed by a ten-day course of crystalline penicillin G.
  • The infant's Rapid Plasma Reagin (RPR) titers demonstrated a significant decline at three and six months post-treatment.

Implications:

  • An interdisciplinary approach ensures optimal and safe care for neonates with congenital syphilis.
  • Successful treatment and multidisciplinary follow-up facilitate positive long-term outcomes for affected infants.

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