00:01
Let’s move on to syphilis.
00:03
Syphilis is caused by the
spirochete, Treponema pallidum.
00:08
In the United States, we are having
currently a rising epidemic of syphilis.
00:14
The highest transmission to the fetus is
if the mother has secondary syphilis.
00:20
Primary syphilis is less likely
to transfer, but it still can.
00:24
So if a mother has secondary
syphilis, we worry about that baby.
00:29
The baby can present with
a variety of symptoms.
00:33
They may be asymptomatic or they
may be dead on presentations.
00:37
So stillbirth is possible,
but also, more than 60% will be
completed asymptomatic at birth.
00:44
But watch out, they may later present with a
second or a third staged disease syphilis.
00:52
So a child may be
asymptomatic at birth,
and then at few years of age,
develops secondary syphilis.
00:59
So early findings in syphilis
include hepatosplenomegaly,
lymphadenopathy, rash, a
rhinitis or syphilitic snuffles,
or they may have metaphyseal
lucencies on radiography.
01:14
That can be a classic x-ray finding.
01:17
Later findings include Hutchinson
teeth, which are notched teeth.
01:24
Hearing loss, a saddle
nose deformity,
or Saber shins, which are sharpened
shins in the front from hematopoiesis.
01:35
Or they may also get
developmental delay.