Congenital Syphilis: Diagnosis and Treatment

Congenital Syphilis Is An Infectious Disease Caused By The Bacterium Treponema Pallidum, Which Is Transmitted From The Mother To The Fetus Through The Placenta In Any Period Of Pregnancy And At Any Stage Of The Disease.
A pregnant woman with syphilis has about 60 to 80% probability of infecting the fetus with the disease. The more recent is the maternal syphilis, the greater the rate of transmission to the fetus.
A newborn with Syphilis may present blisters on palms of hands and soles of the feet and usually features an enlarged liver and spleen. Many of the children with Congenital Syphilis remains latent stage of the disease over a lifetime and never have symptoms. However, other may show symptoms such as ulcers in the nose and on the palate. Infection of the brain due to syphilis usually does not cause symptoms in childhood, but with time the child can present difficulties in learning, deafness and blindness.
The characteristic signs and symptoms constitute an important basis for clinical diagnosis. The doctor confirms the diagnosis by examining a sample under the microscope of the eruption of blisters or nasal mucus and requesting serological tests.
Syphilis in pregnancy be cured when the treatment is carried out in an appropriate manner. The VDRL is the blood test that throws off the presence of syphilis and must be performed at the beginning of the prenatal diagnosis and repeated in the second quarter, even if the result is negative, because the disease can be latent phase and it is important that treatment is instituted. In the pregnant women diagnosed with syphilis, VENEREAL DISEASE RESEARCH LABORATORY test must be performed on a monthly basis until the end of pregnancy to confirm the Elimination of bacteria.
Congenital syphilis can be prevented by administration of penicillin injection to the mother during pregnancy. The treatment should be indicated by the obstetrician and penicillin injections are usually administered at 1, 2 or 3 doses, depending on the stage of the disease. However, the treatment in the last stage of pregnancy does not revert the anomalies that the fetus may have suffered.
It is very important that pregnant women perform the treatment to the end to avoid transmitting syphilis to an unborn baby. Soon after birth the baby should be evaluated so that, if required, also the treatment with penicillin, as promptly as possible.

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