Experimental congenital syphilis in rabbits.

A model for congenital syphilis in rabbits was developed based on multiple intravenous injections of pregnant does with high concentrations of Treponema pallidum. A total of 48 pregnant does and 394 newborns were evaluated. Indications of in utero infection included a 7- to 10-fold increase in fetal mortality and a 49% reduction in birth weight. The size of the stillborns varied. Some developed to normal size, whereas others were poorly developed, hemorrhagic, and 1/10th normal size. Fetuses were surgically removed after 25 to 28 days of gestation and extracts of the fetal tissues were injected into adult rabbits. Syphilitic lesions resulted demonstrating the presence of T. pallidum within the fetal tissues. Treponemes were also demonstrated within splenic tissue from a 1-week-old newborn. Isolated amniotic membranes were placed in Franz Biologic chambers. Viable organisms readily penetrated through the amnion but heat-inactivated organisms did not. Further evidence for in utero transmission of organisms was provided by intradermal injection of 6- to 7-week-old newborns. In control newborns in which the does were not infected during pregnancy, lesions occurred at 90% of the sites injected and developed in typical fashion. In newborns from does infected during pregnancy, lesions occurred in 18% of the sites injected and developed in atypical fashion (flat, nonulcerating, rapid healing). Finally, overt congenital syphilis did not occur if the does were immune prior to pregnancy, then infected with T. pallidum during pregnancy. The percent mortalities and birth weights of newborns were equivalent to control newborns from noninfected does.