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Congenital Syphilis: A U.S. Perspective
Alvaro E Galvis1,2, Antonio Arrieta1,2
1Department of Infectious Diseases, Children's Hospital of Orange County, Orange, CA 92868, USA.
Insights
Congenital syphilis is a growing public health concern, leading to severe outcomes for newborns if untreated. This review guides the management of infants born to mothers with syphilis.
Area of Science:
- Public Health
- Infectious Diseases
- Pediatrics
Background:
- Congenital syphilis remains a significant global health issue.
- Untreated maternal syphilis results in fetal demise and high neonatal morbidity/mortality.
- Recent years have seen a concerning resurgence of congenital syphilis cases in the U.S.
Purpose of the Study:
- To review the persistent problem of congenital syphilis.
- To discuss vertical transmission and clinical manifestations.
- To provide guidance for evaluating and managing infants born to mothers with syphilis.
Main Methods:
- This is a review article.
- It synthesizes current literature on congenital syphilis.
- Focuses on clinical management and diagnostic guidance.
Main Results:
- Congenital syphilis is preventable but poses a substantial risk.
- Early diagnosis and treatment are crucial for preventing adverse outcomes.
- Standardized evaluation and management protocols are essential.
Conclusions:
- Effective management of congenital syphilis requires updated clinical guidance.
- Addressing the resurgence necessitates public health interventions.
- Protecting newborns from congenital syphilis is a critical objective.
Abstract:
Congenital syphilis still represents a worldwide public health problem. If left untreated, it can lead to fetal demise and high neonatal morbidity and mortality. Unfortunately, in the last decade, there has been a resurgence of cases in the U.S. This review discusses the ongoing problem of this preventable congenital infection, vertical transmission and clinical manifestations while providing a guidance for the evaluation and management of infants born to mothers with reactive serologic tests for syphilis.
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