University of Florence, 9300Department of Health Science, Florence, Italy.
Pediatric Infectious Diseases Unit, Meyer Children's Hospital, Florence, Italy.
Int J STD AIDS. 2021 Jul;32(8):768-770. doi: 10.1177/0956462420987442. Epub 2021 Feb 3.
We describe the case of a 2-month-old baby with congenital syphilis, presenting with limb paralysis. The radiological investigations showed periosteal thickenings of the limb. Despite negative maternal serology during the first trimester of pregnancy, clinical and radiological features led to the suspicion of pseudoparalysis of Parrot, which was confirmed by blood tests. Delayed diagnoses or misdiagnoses are possible when uncommon presentations of forgotten diseases occur. The needing for a second screening for syphilis in high-risk pregnant women should be evaluated.
我们描述了一例 2 个月大的先天性梅毒婴儿，表现为肢体瘫痪。影像学检查显示肢体骨膜增厚。尽管母亲在妊娠早期的血清学检查为阴性，但临床和影像学特征提示 Parrot 假性麻痹的可能性，血液检查结果证实了这一点。当遗忘疾病出现不常见的表现时，可能会导致诊断延迟或误诊。对于高危孕妇，应该评估是否需要进行第二次梅毒筛查。
