Related Experiment Video
Updated: May 30, 2026

Procedures for In Vitro Cultivation of Treponema pallidum, the Syphilis Spirochete
Published on: January 24, 2025
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
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.
Abstract:
Despite comprehensive antenatal screening recommendations and inexpensive treatment, congenital syphilis has long been and continues to be a public health concern, causing substantial morbidity and adverse outcomes. The following article reviews syphilis etiology and presentation, clinical disease, laboratory diagnosis, and treatment of congenital syphilis. A case will be presented describing a 31-week male infant exposed to infectious syphilis in utero. The neonate presented with classic signs of infection at birth. After initial serology testing of the infant, appropriate treatment was commenced. The infant received crystalline penicillin G for a period of ten days in consultation with pediatric infectious disease specialists. As expected, the infant's rapid plasma reagin (RPR) titers declined by three and six months of age. An interdisciplinary approach provided safe and optimal care for this infant. He was discharged, stable, and thriving at 38 weeks corrected age. Long-term multidisciplinary management and follow-up were arranged.
Related Concept Videos
Sexually Transmitted Infections
Genital Herpes
Trichomoniasis
Streptococcal Pharyngitis
Rocky Mountain Spotted Fever
American Trypanosomiasis