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Congenital syphilis



Reproductive system


Male and female reproductive system disorders
Male reproductive system disorders
Female reproductive system disorders
Reproductive system pathology review

Congenital syphilis


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High Yield Notes
15 pages

Congenital syphilis

10 flashcards

USMLE® Step 1 style questions USMLE

3 questions

USMLE® Step 2 style questions USMLE

3 questions

A 22-year-old, gravida 2 para 1, woman comes to the office for routine wellness visit. Her past medical history is remarkable for gestational diabetes and multiple treatments for chlamydia infections. Her previous obstetrics history is remarkable for an elective abortion at 9 weeks gestation and one live birth at 42 weeks gestation. Her daughter was healthy at birth but, at 28 months of age, she had notched teeth, bilateral deafness, and anterior-bowing tibias. Early treatment during pregnancy with which medication could have most likely prevented these symptoms?

External References
Congenital syphilis is syphilis present in utero and at birth, and occurs when a child is born to a mother with syphilis. It is caused by the spirochete Treponema pallidum. Babies typically have facial abnormalities such as rhagades (linear scars at the angle of the mouth), snuffles (nasal discharge), saddle nose, notched (Hutchinson) teeth, mulberry molars, and a short maxilla. Other features include saber shins and cranial nerve VIII deafness. It can be prevented by treating the mother early in pregnancy as placental transmission occurs after the first trimester. Treatment is with 10-14 days of penicillin G.