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Ultrasound findings in early congenital syphilis: Two case reports and literature review
Giulia Muzi1, Dolores Ferrara2, Rosanna Mamone2
1Chair of Pediatrics, NESMOS Department, Faculty of Medicine and Psychology, Sapienza University of Rome, Sant'Andrea University Hospital, Rome, Italy.
Insights
Congenital syphilis (CS) in infants can cause severe symptoms like liver failure. This study highlights key ultrasound findings in early congenital syphilis, aiding diagnosis and treatment.
Area of Science:
- Pediatrics
- Infectious Diseases
- Radiology
Background:
- Congenital syphilis (CS) arises from untreated maternal syphilis during pregnancy.
- Early CS manifests before two years of age with potential for severe systemic involvement.
- Current data on specific ultrasound (US) findings in early CS, particularly intestinal and brain, are limited.
Observation:
- Two cases of early congenital syphilis are presented with severe clinical presentations.
- Key symptoms included liver failure, edema, organomegaly, and respiratory distress.
- Radiological assessment focused on liver, intestinal, and brain ultrasound findings.
Findings:
- The study details unique liver, intestinal, and brain ultrasound characteristics in early CS.
- Abdominal US data for early CS is scarce, with no prior scientific data on intestinal and brain US findings.
- Peculiar radiological findings were observed and documented.
Implications:
- Enhanced understanding of US findings can improve early diagnosis of congenital syphilis.
- Improved diagnostic capabilities may lead to better therapeutic strategies for affected infants.
- This research addresses a critical knowledge gap in pediatric infectious disease imaging.
Abstract:
Syphilis is caused by treponema pallidum. If untreated, or inadequately treated, during pregnancy, it can result in congenital syphilis (CS), which is classified as early and late. Early CS displays before 2 years of age. We herein describe 2 cases of early CS, whose clinical onset included liver failure, edema, organomegaly, and respiratory distress. We focus on liver, intestinal, and brain ultrasound (US) and other peculiar radiological findings. To date, there are no scientific data on intestinal and brain US findings in patients with early CS whereas data on abdominal US are scarce. Increasing knowledge about US findings in early CS could be useful to improve the diagnostic and therapeutic approach to these patients.
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