Dionisopoulos Zachary, Kakkar Fatima, Blanchard Ana C
Paediatrics Residency Program, Department of Paediatrics, CHU Sainte-Justine, Université de Montréal, Montréal, QC.
Division of Infectious Diseases, Department of Paediatrics, CHU Sainte-Justine, Université de Montréal, Montréal, QC.
Can Commun Dis Rep. 2022 Feb 24;48(2-3):115-118. doi: 10.14745/ccdr.v48i23a10.
Syphilis is an infection caused by spirochetes. The diagnosis of this sexually transmitted disease may be missed, partly due to the painless nature of genital ulcers in its primary stage. Women in Canada are screened for syphilis in their first trimester of pregnancy, but late pregnancy testing is not done in all provinces to date; therefore, undetected vertical transmission of syphilis may occur. This case emphasizes the importance of recognizing congenital syphilis in infants and young children with unexplained growth problems and biochemical and hematological abnormalities. Congenital syphilis remains a rare diagnosis, but in the context of increased syphilis rates in Canada during recent years, clinicians should consider this diagnosis in infants presenting with compatible clinical manifestations.
梅毒是一种由螺旋体引起的感染。这种性传播疾病的诊断可能会被漏诊，部分原因是其一期生殖器溃疡无痛的特性。加拿大的女性在怀孕的头三个月会接受梅毒筛查，但截至目前并非所有省份都会在孕晚期进行检测；因此，梅毒可能会发生未被检测到的垂直传播。该病例强调了在患有不明原因生长问题以及生化和血液学异常的婴幼儿中识别先天性梅毒的重要性。先天性梅毒仍然是一种罕见的诊断，但鉴于近年来加拿大梅毒发病率上升，临床医生对于出现符合临床表现的婴儿应考虑这一诊断。
