Congenital Syphilis: An Uncommon Cause of Gross Hematuria, Skin Rash, and Pneumonia
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½É¼±Èñ(Shim Sun-Hee) - Catholic University College of Medicine Department of Pediatrics
±èÁÖ¿µ(Kim Ju-Young) - Catholic University College of Medicine Department of Pediatrics
ÀÌÀÇ°æ(Lee Eu-Kyoung) - Catholic University College of Medicine Department of Pediatrics
¹æ°æ¿ø(Bang Kyong-Won) - Catholic University College of Medicine Department of Pediatrics
Á¶°æ¼ø(Cho Kyoung-Soon) - Catholic University College of Medicine Department of Pediatrics
ÀÌÁÖ¿µ(Lee Ju-Young) - Catholic University College of Medicine Department of Pediatrics
¼Áø¼ø(Suh Jin-Soon) - Catholic University College of Medicine Department of Pediatrics
ºóÁßÇö(Bin Joong-Hyun) - Catholic University College of Medicine Department of Pediatrics
±èÇöÈñ(Kim Hyun-Hee) - Catholic University College of Medicine Department of Pediatrics
ÀÌ¿ø¹è(Lee Won-Bae) - Catholic University College of Medicine Department of Pediatrics
Abstract
Although congenital syphilis can be prevented with prenatal screening, the disease remains problematic. Currently, there are no cases that describe hematuria and pneumonia related to congenital syphilis. We report a case of congenital syphilis that involved nephrotic syndrome and pneumonia alba in a 22-day-old male infant whose mother did not receive adequate prenatal care. The congenital syphilis diagnosis was confirmed with a serologic test and the patient recovered with penicillin treatment. Clinical findings may be subtle in neonates and delayed recognition occurs frequently, thus complete prenatal screening is critical for congenital syphilis prevention. Immediate serologic testing should be performed to obtain a differential diagnosis if an infant is delivered by a mother that has not received appropriate prenatal examinations.
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Congenital syphilis, Nephrotic syndrome, Pneumonia, Hematuria
KMID :
0605820140210010065
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