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[Bone disorders due to congenital syphilis]
J A den Boer1, H E Zoethout, P J Moll
1Juliana Kinderziekenhuis, Den Haag.
Insights
Congenital syphilis, a preventable disease, continues to affect infants, causing conditions like osteomyelitis. Early diagnosis using the 19S-IgM-FTA-absorption test and interdisciplinary treatment are crucial for positive outcomes.
Area of Science:
- Pediatrics
- Infectious Diseases
- Orthopedics
Background:
- Congenital syphilis remains a concern despite preventive measures, with documented incidence rates.
- The condition can lead to severe complications in infants, including osteomyelitis.
Abstract:
Despite good prevention, congenital syphilis still occurs: the incidence in 1981-1986 was 9 in six years. In this case history an infant with osteomyelitis, due to congenital syphilis, is discussed. This article also gives a review of symptoms, diagnosis, therapy and follow-up after treatment. The best method for diagnosis is the 19S-IgM-FTA-absorption test in serum. Treatment concerns the pediatrician, as well as the orthopaedic surgeon, the neurologist, the dermatologist and the ophthalmologist, cooperating as an interdisciplinary team.