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早期先天性梅毒伴孤立性骨受累:一例报告

Early congenital syphilis with isolated bone involvement: a case report.

作者信息

Armangil Didem, Canpolat Fuat Emre, Yiğit Sule, Demir Haci Ahmet, Ceyhan Mehmet

机构信息

Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

Turk J Pediatr. 2009 Mar-Apr;51(2):169-71.

Abstract

Congenital syphilis is the oldest recognized congenital infection and still represents a serious healthcare problem in the 21st century. It is important to be fully informed regarding the early diagnosis and treatment of congenital syphilis to prevent its devastating complications leading to death. In this manuscript, we report a newborn infant with unusual clinical findings of congenital syphilis such as a non-fluctuant mass surrounding the left calf. She did not have any additional system involvement such as hepatic or skin involvement or lymph nodes. To our best knowledge, there are only a few case reports presented with isolated bone involvement. This case demonstrates that congenital syphilis should be considered in neonates with bone fractures, lytic bone lesions and periostitis.

摘要

先天性梅毒是最早被认识的先天性感染疾病,在21世纪仍然是一个严重的医疗保健问题。充分了解先天性梅毒的早期诊断和治疗方法对于预防其导致死亡的毁灭性并发症至关重要。在本手稿中,我们报告了一名患有先天性梅毒异常临床症状的新生儿,如左小腿周围有一个非波动性肿块。她没有任何其他系统受累情况,如肝脏、皮肤受累或淋巴结肿大。据我们所知,仅有少数病例报告显示有孤立的骨骼受累情况。该病例表明,对于患有骨折、溶骨性骨病变和骨膜炎的新生儿应考虑先天性梅毒的可能。

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