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Revista Médica de Costa Rica y Centroamérica

Colegio de Medicos y Cirujanos República de Costa Rica
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2011, Number 596

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Rev Med Cos Cen 2011; 68 (596)

Sifilis congénita

Rodríguez HG, Miranda JB
Full text How to cite this article

Language: Spanish
References: 10
Page: 121-125
PDF size: 368.91 Kb.


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ABSTRACT

The case of a feminine patient is presented, newly born of appropriate preterm for the gestational age who is born for vaginal childbirth, with the antecedent in the mother of absence of prenatal control and not diagnosed syphilis. It was valued to the later 30 minutes to their childbirth, due to breathing difficulty and injure ampoules in palms and plants. The patient is entered and she is approached initially like a transitory taquipnea of the newly born one and prematurity, but she is suspected in congenital syphilis by what a VDRL is requested. During their stay in the service of Neonatology of the Hospital San Carlos, a test of positive VDRL is detected (32 dilutions) and the positivity of the fraction treponemic antigen, and negativity of cultivations in urine and cerebrospinal fluid; for what parenteral therapy antibiotic begins with sodium Penicillin. At the present time; this pathology is very strange due to the prenatal national systematic application of serologic detection of syphilis. The present article seeks to make the patient’s summary, with its clinical and radiological evolution, and to create conscience on the early detection of women pregnant syphilis carriers.


REFERENCES

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  2. Centers for Disease Control and Prevention. Congenital syphilis. USA, 2002. MMWR. 2004; 53:716-719

  3. Deperthes, B et al. Maternal and congenital syphilis programmes: case studies in Bolivia, Kenya y South Africa. Bulletin of the World Health Organization. 82 (6). 2004.

  4. Kliegman, R. Berhman, R. Nelson Tratado de Pediatría Volumen I. Decimo octava edición. Editorial Elsevier, 2009. Cap 215, pg 1263-1269.

  5. Moyer V et al. Contribution of long bone radiographs to the management of congenital syphilis in the newborn infant. Archives Pediatrics Adolescent Medical. 1998; 152: 353-357.

  6. Rosanna, W and Htung Y. Diagnostic tools for preventing and managing maternal and congenital syphilis: an overview. Bulletin of the World Health Organization. 82 (6). 2004.

  7. Salvia, M y otros. Infecciones congénitas. Protocolos diagnósticos de la Asociación Española de Pediatría, págs 183-185 2008.

  8. Schackman, B. Neukermans, C. Cost-efectiveness of rapid syphilis screening in prenatal HIV testing programs in Haiti. Plos Medicine, 4(5). 2007.

  9. Walker, GJA. Antibióticos para la sífilis diagnosticada en el embarazo. Biblioteca Cochrane Plus, número 2, 2008.

  10. Zenker P, Berman S. Congenital syphilis. Trends an recommendations for evaluation and management. Pediatrics Infectology Dis Journal. 1991; 10:516-522.e




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Rev Med Cos Cen. 2011;68