Vega Melanie D, Alissa Rana, Rathore Mobeen
Pediatric Infectious Diseases, University of Florida Center for HIV/AIDS Research, Education and Service (UF CARES), Jacksonville, USA.
Pediatric Infectious Diseases, Department of Pediatrics, University of Florida College of Medicine, Jacksonville, USA.
Cureus. 2023 Aug 25;15(8):e44102. doi: 10.7759/cureus.44102. eCollection 2023 Aug.
This case report highlights the need for syphilis re-testing during pregnancy and at labor and delivery when there are high-risk factors present. Our patient, an infant, was evaluated for non-accidental trauma because of the presence of multiple fractures, which could be one of the presentations of congenital syphilis. A high index of suspicion is required for syphilis when an infant presents with multiple fractures. Syphilis testing and re-testing guidelines should be followed strictly so that pregnant women are appropriately treated to prevent congenital syphilis.
本病例报告强调，当存在高危因素时，孕期以及分娩时均需重新检测梅毒。我们的患者是一名婴儿，因其存在多处骨折而接受非意外伤害评估，多处骨折可能是先天性梅毒的表现之一。当婴儿出现多处骨折时，需要对梅毒有高度的怀疑指数。应严格遵循梅毒检测和重新检测指南，以便对孕妇进行适当治疗，预防先天性梅毒。
