Gynecology and Obstetrics Medical Residency Program at UNIMED Vitória, Vitória, Espírito Santo State, Brazil.
Gynecology and Obstetrics Department at Federal University of Espírito Santo, Vitória, Espírito Santo State, Brazil.
Int J Infect Dis. 2020 Feb;91:57-59. doi: 10.1016/j.ijid.2019.11.011. Epub 2019 Nov 16.
Syphilis is a sexually transmitted infection (STI) caused by the bacterium Treponema pallidum and has shown a significant increase in recent decades. It may be associated with other STIs such as soft chancre or chancroid, which is an uncommon infection in Brazil. The presence of ulcerated genital lesions is associated with a higher risk of HIV transmission. An accurate clinical and laboratory diagnosis of genital ulcer disease is essential for the appropriate treatment of pregnant women, in order to avoid congenital syphilis, a severe complication of mother-to-child vertical transmission. We report the case of a woman in the third trimester of pregnancy with Rollet's mixed chancre and describe the clinical and laboratory diagnosis, as well as the treatment of these diseases in pregnancy. We emphasize the importance of training health professionals on early diagnosis and treatment in order to avoid mother-to-child transmission.
梅毒是一种由梅毒螺旋体引起的性传播感染（STI），近年来发病率显著上升。它可能与其他性传播感染（如软性下疳或腹股沟横痃）相关，后者在巴西较为少见。生殖器溃疡的存在与 HIV 传播的风险增加相关。准确的临床和实验室诊断对于孕妇的适当治疗至关重要，以避免先天性梅毒，这是母婴垂直传播的一种严重并发症。我们报告了一例妊娠晚期患有 Rollet 混合下疳的女性病例，并描述了其临床和实验室诊断以及妊娠期间的治疗。我们强调了对卫生专业人员进行早期诊断和治疗培训的重要性，以避免母婴传播。
