Universidade Tiradentes, Departamento de Medicina, Aracaju, SE, Brasil.
Universidade Federal de Sergipe, Departamento de Medicina, São Cristóvão, SE, Brasil.
Rev Soc Bras Med Trop. 2023 Jun 2;56:e0038. doi: 10.1590/0037-8682-0038-2023. eCollection 2023.
Congenital and gestational syphilis are increasingly prevalent multisystemic infections in Brazil. This study aimed to present a case series of three children diagnosed with congenital syphilis even though their mother had unreactive treponemal tests. The VDRL (Venereal Disease Research Laboratory) titers of a 22-year-old mother with three pregnancies decreased after treatment. The mother did not have a reactive treponemal test, but all the three children were diagnosed with early congenital syphilis. This case series highlights the difficulty in diagnosing gestational and congenital syphilis in Brazil.
先天性和胎传梅毒在巴西是日益流行的全身性感染性疾病。本研究旨在介绍三例先天性梅毒患儿的病例系列，尽管他们的母亲梅毒螺旋体检测结果为阴性。一位 22 岁的母亲，三次妊娠，经治疗后 VDRL（性病研究实验室）滴度下降。母亲的梅毒螺旋体检测结果为阴性，但三个孩子均被诊断为早期先天性梅毒。该病例系列强调了巴西在诊断胎传和先天性梅毒方面的困难。
