Open AccessCongenital syphilis: The continuing scourge
Author(s) -
Prachi G Agrawal,
Rajesh Joshi,
Vidya Kharkar,
M V Bhaskar
Publication year - 2014
Publication title -
indian journal of sexually transmitted diseases
Language(s) - English
Resource type - Journals
eISSN - 1998-3816
pISSN - 0253-7184
DOI - 10.4103/0253-7184.142411
Subject(s) - medicine , congenital syphilis , syphilis , pregnancy , treponema , asymptomatic , pediatrics , transmission (telecommunications) , incidence (geometry) , obstetrics , disease , infectious disease (medical specialty) , surgery , immunology , human immunodeficiency virus (hiv) , physics , optics , biology , electrical engineering , genetics , engineering
Congenital syphilis is a severe, disabling infection that occurs due to the transmission of Treponema pallidum across the placenta during pregnancy or from contact with an infectious genital lesion during delivery. However, its early diagnosis is often difficult because more than half of the affected infants are asymptomatic, and the signs in symptomatic infants may be subtle and nonspecific. Although its incidence is declining, this long-forgotten disease continues to affect pregnant women, resulting in considerable perinatal morbidity and mortality. We hereby report a case of a 2-month-old infant with early congenital syphilis presenting with joint swellings and Parrot's pseudoparalysis, a comparative rarity in the present scenario. The report also stresses upon the importance of implementing the Centres for Disease Control and Prevention recommendation that all the pregnant women should be screened for syphilis in the first antenatal visit in the first trimester and again in late pregnancy.