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Updated: May 13, 2026

09:45
Procedures for In Vitro Cultivation of Treponema pallidum, the Syphilis Spirochete
Published on: January 24, 2025
[Congenit syphilis in a baby]
Tina Lund Leunbach1, Uffe Koppelhus, Lars Bender
1Børneafdelingen, Aalborg Sygehus, Aarhus Universitetshospital, Denmark. kristiansen_tina@hotmail.com
Ugeskrift for Laeger
|March 14, 2013
Summary
A pregnant woman with secondary syphilis delivered prematurely after penicillin treatment. Her infant, born small for gestational age, recovered fully with intensive care and penicillin, highlighting the importance of syphilis screening.
Area of Science:
- Obstetrics and Gynecology
- Neonatology
- Infectious Diseases
Background:
- Syphilis incidence is rising globally, posing risks to pregnant individuals and their fetuses.
- Congenital syphilis can lead to severe fetal complications, including intrauterine growth restriction and neurological damage.
Observation:
- A pregnant woman diagnosed with secondary syphilis received intravenous penicillin.
- Following treatment, the fetus experienced reduced blood flow in the middle cerebral artery, necessitating a cesarean section at 28 weeks + 5 days gestation.
- The neonate was small for gestational age (birth weight 1,320 g) and required eight weeks of intensive care.
Findings:
- The neonate received intravenous benzyl penicillin for 15 days.
- At one year corrected age, the infant exhibited normal developmental milestones.
- This case demonstrates a positive outcome despite premature delivery and congenital syphilis exposure.
Implications:
- Early diagnosis and prompt treatment of syphilis in pregnancy are crucial for preventing adverse fetal outcomes.
- Increased awareness and robust screening protocols for syphilis are essential in Western healthcare systems.
- Successful management of congenital syphilis can lead to favorable long-term neurodevelopmental outcomes.
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