Unusual presentation of congenital syphilis

Authors: Simmank K. C.¹; Pettifor J. M.¹

Source: Annals of Tropical Paediatrics: International Child Health, Volume 20, Number 2, 1 June 2000 , pp. 105-107(3)

Publisher: Carfax Publishing, part of the Taylor & Francis Group

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Abstract:

Congenital syphilis (CS) usually presents in the neonatal period and may involve any organ system. The signs are diverse and a high index of suspicion must be maintained to make the diagnosis. Early congenital syphilis can present at any time before 2 years of age, but a review of the literature over the last 30 years indicates that it usually presents in the neonatal period and seldom later than 3-4 months of life. We report an 8-month-old boy who presented an unusual combination of signs of congenital syphilis, which led to delay in establishing the diagnosis. This case emphasises the importance of maintaining a high index of suspicion for CS throughout early childhood.

Language: English

Document Type: Research article

Affiliations: 1: Department of Paediatrics, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg, South Africa

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