Congenital Syphilis : Still a Reality in Bangladesh

Authors

  • Dhananjoy Das Autism and Child development Centre & Child Neurology Unit, Chattogram Maa-O-Shishu Hospital Medical College, Chattogram, Bangladesh
  • Wahida Akter Autism and Child development Centre & Child Neurology Unit, Chattogram Maa-O-Shishu Hospital Medical College, Chattogram, Bangladesh
  • Mohammad Ohi Uddin Autism and Child development Centre & Child Neurology Unit, Chattogram Maa-O-Shishu Hospital Medical College, Chattogram, Bangladesh
  • Rehana Ahmed Autism and Child development Centre & Child Neurology Unit, Chattogram Maa-O-Shishu Hospital Medical College, Chattogram, Bangladesh
  • Mahmood A Chowdhury Arzu Autism and Child development Centre & Child Neurology Unit, Chattogram Maa-O-Shishu Hospital Medical College, Chattogram, Bangladesh

DOI:

https://doi.org/10.3329/cmoshmcj.v21i1.59766

Keywords:

Antenatal care; Congenital syphilis; Skeletal involvement; Syphilis screening

Abstract

Congenital syphilis is caused by Treponema Pallidum. The fetus can acquire it transplacentally during maternal spirochetemia, or contact with genital lesion during the intrapartum period. The prevention and treatment of congenital syphilis are very much cost-effective, but if it remains undiagnosed and untreated, can result in a deadly outcome. It can affect multiple organs and systems. In this present case, skeletal systems were predominantly involved. The clinical presentation was the failure to gain weight, painful mobilization of the right arm, and swelling of the proximal and distal end of this arm. Erythematous, maculopapular scaly skin eruption was also noticed in the scalp and scrotum. Radiological examination showed metaphyseal irregularity, and periosteal reaction at the right humerus, radius, and ulna. Nontreponemal antibody test (VDRL) and a treponemal antibody test (TPHA) both were reactive. Early congenital syphilis may have a subtle clinical presentation or may remain asymptomatic. Therefore physicians should aware of the clinical presentation of congenital syphilis; at the same time, detailed clinical history can play an important role to suspect congenital syphilis. Promotion of pregnant women for antenatal care and screening for syphilis in the first trimester are the keys to eliminating congenital syphilis.

Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 73-77

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Published

2022-05-19

How to Cite

Das, D. ., Akter, W. ., Uddin, M. O. ., Ahmed, R., & Arzu, M. A. C. (2022). Congenital Syphilis : Still a Reality in Bangladesh. Chattagram Maa-O-Shishu Hospital Medical College Journal, 21(1), 73–77. https://doi.org/10.3329/cmoshmcj.v21i1.59766

Issue

Section

Case Reports