An infant with acral peeling of skin: A curious case of congenital syphilis

Congenital syphilis (CS) is a vertically transmitted infection caused by the spirochete . It is seen rarely due to proper antenatal screening. Signs and symptoms appear within the first 2 years of life in early CS and after 2 years in late CS. Failure to diagnose and treat CS in its early stages can...

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Bibliographic Details
Published inIndian journal of sexually transmitted diseases and AIDS Vol. 45; no. 1; pp. 67 - 69
Main Authors Shahid, Rashid, Pradhan, Swetalina, Dash, Gaurav
Format Journal Article
LanguageEnglish
Published India Medknow Publications & Media Pvt. Ltd 01.01.2024
Wolters Kluwer - Medknow
Subjects
Case Reports
Acral peeling of skin
hepatosplenomegaly
aqueous penicillin
respiratory distress
congenital syphilis
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Summary:Congenital syphilis (CS) is a vertically transmitted infection caused by the spirochete . It is seen rarely due to proper antenatal screening. Signs and symptoms appear within the first 2 years of life in early CS and after 2 years in late CS. Failure to diagnose and treat CS in its early stages can result in higher morbidity and mortality. Skin manifestations can guide toward the diagnosis of CS at an early stage. Here, we report a 2-day-old neonate who presented with acral peeling of skin along with respiratory distress and hepatosplenomegaly. Clinical suspicion of CS was made and subsequently confirmed by a positive venereal disease research laboratory test in both mother and child. The child was treated with aqueous crystalline penicillin G as per the CDC guidelines.
Bibliography:ObjectType-Case Study-2
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ISSN:2589-0557
2589-0565
2589-0565
DOI:10.4103/ijstd.ijstd_15_24