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A Case of Congenital Syphilis Diagnosed in an Infant Past the Newborn Period

Melanie D Vega1,2,3, Rana Alissa4, Mobeen Rathore5,2,3

  • 1Pediatric Infectious Diseases, University of Florida Center for HIV/AIDS Research, Education and Service (UF CARES), Jacksonville, USA.

Cureus
|September 26, 2023
PubMed

Insights

Syphilis re-testing during pregnancy is crucial, especially with risk factors. Congenital syphilis can present as infant fractures, necessitating high suspicion and adherence to testing guidelines.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Obstetrics

Background:

  • Congenital syphilis poses significant risks to newborns.
  • Early detection and treatment are vital for preventing severe outcomes.

Observation:

  • An infant presented with multiple fractures, initially suspected as non-accidental trauma.
  • This presentation raised suspicion for congenital syphilis.

Findings:

  • Congenital syphilis can manifest with skeletal abnormalities, including multiple fractures.
  • The case underscores the importance of considering syphilis in infants with unexplained fractures.

Implications:

  • Strict adherence to syphilis testing and re-testing guidelines during pregnancy is essential.
  • Prompt diagnosis and treatment of maternal syphilis can prevent congenital transmission and its severe consequences.

Keywords:
congenital syphilisdelayed diagnosisendemic syphilis areamaternal syphilis testingnat vs syphilisneonatal fracturesneonatal rash

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