Congenital Syphilis - Europe PMC

Congenital syphilis and hepatic infarction, a not previously reported association. A pediatric case report.

Treponema pallidum infection of the fetus during pregnancy is the cause of congenital syphilis. Although endothelial disease is common, it is not always present in congenital cases. Images studies showed an injury in the liver's left lobe without mass effect. The patient was pain-free three months later, and the control MRI revealed atrophy of the left lobe, suggesting atrophy of the left lobe, although the majority of the parenchyma remained unchanged.

Source link: https://europepmc.org/article/MED/36706010

Challenges and outcomes of implementing a national syphilis follow-up system for the elimination of congenital syphilis in Cambodia: a mixed-methods study.

Objectives We sought to outline the difficulties and successes of implementing a national syphilis follow-up program to increase syphilis management in Cambodia's maternal and child health services. Setting up Public health services at national level and in four provinces with high syphilis prevalence in Cambodia, including Cambodia. In the national syphilis follow-up scheme in 2019-2020, a total of 470 pregnant women who tested positive in rapid syphilis testing were found. Four provinces with high syphilis prevalence exhibited higher testing and treatment rates than at the national level. The HMIS aggregated results revealed a higher number of pregnant women tested and treated for syphilis than the follow-up model during the same period. Conclusions The study results contributed to the development of syphilis control in Cambodia's MCH services.

Source link: https://europepmc.org/article/MED/36627153

Congenital syphilis in a preterm newborn with gastrointestinal disorders and postnatal growth restriction.

Congenital syphilis can be traced from an infected mother to fetus during pregnancy, according to a geography. Because of the combined pathogenic effects of both CS and prematurity, premature infants with CS may have more severe signs of disease than those without, such as infants with CS. Case presentation We examine a female preterm newborn who has the majority of the typical CS signs in comparison to gastrointestinal disorders such as feeding difficulties, colon stenosis, and breastfeeding restriction have resulted in postnatal growth restriction. The mother did not receive any medications during the first trimester of pregnancy, and she did not receive any medical attention. Our baby was VDRL positive at birth and was treated with intravenous benzylpenicillin G for ten days. Within the descending tract, a barium enema X-Ray detected a colon stenosis. An improvement of enteral feeding was observed after the introduction of an amino acid-based diet at 5 months of age, with no further and significantly reduced episodes of abdominal pain and vomiting respectively, as well as regular stool leaks. A psychological intervention offered to the family resulted in a more stable relationship between the mother and her baby, thereby granting the mother and her baby a more healthy lifestyle and growth. Conclusions Our research points to less common clinical CS disorders like feeding difficulties, colon stenosis, and malabsorption that contribute to postnatal growth lag. CS may be present in other wealthy countries, with high prevalence of antenatal screening and prenatal care.

Source link: https://europepmc.org/article/MED/36581899

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