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이나래 ( Lee Na-Rae ) - Pusan National University School of Medicine Department of Pediatrics
정문희 ( Jeong Mun-Hui ) - Pusan National University School of Medicine Department of Pediatrics
배미혜 ( Bae Mi-Hye ) - Pusan National University School of Medicine Department of Pediatrics
한영미 ( Han Young-Mi ) - Pusan National University School of Medicine Department of Pediatrics
박경희 ( Park Kyung-Hee ) - Pusan National University School of Medicine Department of Pediatrics
변신연 ( Byun Shin-Yun ) - Pusan National University School of Medicine Department of Pediatrics
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Abstract
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Purpose: Syphilis infections are becoming more prevalent in the Republic of Korea, and inadequately treated syphilis can lead to congenital syphilis (CS) in newborns. This study aimed to analyze the clinical manifestations of syphilis in mothers and newborns and to make suggestions to improve disease prognosis.
Methods: This single-center study was performed between August 2009 and August 2019 and included 29 newborns with CS. We retrospectively evaluated the clinical features, rapid plasma reagin (RPR) card test, fluorescent treponemal antibody absorption test (FTA-ABS), morbidity, and treatment regimen of all the syphilis-affected mothers and their newborns.
Results: At the time of delivery, mean maternal age was 29.0±6.1 years old, and newborn gestational age was 38.0 weeks. In cases when syphilis was confirmed during the second and third trimesters of pregnancy, the newborn with CS had morbidity (p=0.004). The mean RPR titer was related to morbidity (p= 0.036). Positive results of FTA-ABS IgM (p<0.001) and pleocytosis in the cerebrospinal fluid (CSF) (p= 0.020) also increase morbidity. The most common symptoms were desquamation and skin rash, followed by hepatomegaly, neurodevelopmental disability, and bone abnormalities. The highest number of CS cases per 1,000 live births in this hospital was in 2014.
Conclusion: CS is a preventable and treatable disease if physicians detect symptoms and provide appropriate treatment through RPR examinations during every trimester. General practitioners should be widely trained on various aspects including early detection, formal treatment, and regular follow-up. Additionally, medical services should be provided for the entire childbearing population regardless of the socioeconomic status.
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KeyWords
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Congenital syphilis, Screening, Outcome
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원문 및 링크아웃 정보
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등재저널 정보
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