Bone abnormalities in congenital syphilis: A case report

Congenital syphilis, caused by Treponema pallidum, can be transmitted from mother to fetus at any stage of pregnancy, leading to significant neonatal complications. This case report describes a 33-week preterm newborn with a history of untreated gestational syphilis in the mother. At birth, the newborn's serological tests were positive for syphilis, and radiographs of the long bones revealed metaphyseal abnormalities consistent with metaphysitis. These findings highlight the importance of early radiological evaluation in newborns with suspected congenital syphilis. Despite the absence of clinical symptoms, X-rays can detect bone changes indicative of early complications, enabling timely diagnosis and intervention to improve outcomes. This case emphasizes the crucial role of radiographic imaging in the management of congenital syphilis.