Muzi Giulia, Ferrara Dolores, Mamone Rosanna, D'Auria Divina, Ranucci Giusy, Quitadamo Paolo, Zeccolini Massimo, Parisi Pasquale, Esposito Francesco
Chair of Pediatrics, NESMOS Department, Faculty of Medicine and Psychology, Sapienza University of Rome, Sant'Andrea University Hospital, Rome, Italy.
U.O. Radiology, "A.O.R.N. Santobono-Pausilipon" Children's Hospital, Naples, Italy.
Radiol Case Rep. 2024 Feb 22;19(5):1859-1865. doi: 10.1016/j.radcr.2024.01.060. eCollection 2024 May.
Syphilis is caused by treponema pallidum. If untreated, or inadequately treated, during pregnancy, it can result in congenital syphilis (CS), which is classified as early and late. Early CS displays before 2 years of age. We herein describe 2 cases of early CS, whose clinical onset included liver failure, edema, organomegaly, and respiratory distress. We focus on liver, intestinal, and brain ultrasound (US) and other peculiar radiological findings. To date, there are no scientific data on intestinal and brain US findings in patients with early CS whereas data on abdominal US are scarce. Increasing knowledge about US findings in early CS could be useful to improve the diagnostic and therapeutic approach to these patients.
梅毒由梅毒螺旋体引起。如果在孕期未治疗或治疗不充分,可导致先天性梅毒(CS),其分为早期和晚期。早期先天性梅毒在2岁前出现。我们在此描述2例早期先天性梅毒病例,其临床症状包括肝衰竭、水肿、器官肿大和呼吸窘迫。我们重点关注肝脏、肠道和脑部超声(US)以及其他特殊的影像学表现。迄今为止,关于早期先天性梅毒患者肠道和脑部超声表现尚无科学数据,而腹部超声数据也很稀少。增加对早期先天性梅毒超声表现的认识可能有助于改善对这些患者的诊断和治疗方法。