Andrea S, Pablo GM*, Mariana L, Adriana DPP, Leticia S and Paula D
Hospital El Cruce Néstor Carlos Kirchner, Florencio Varela, Buenos Aires, ArgentinaFulltext PDF
Congenital Syphilis (CS) is the first congenital infection recognized and described since 1497. Parrot in 1866 described the clinical variant of connatal syphilis that bears his name and is characterized by periostitis with pseudoparalysis . Despite wide understanding of the disease, the identification of the Treponema pallidum (TP), the development of diagnostic tests and its ease of treatment with penicillin, CS remains a major public health problem [1-3]. Unfortunately, the incidence of CS has increased in the last decade, rising its complications and the rate of CS [1-3]. Worldwide, new estimates published today show that there were more than half a million (around 661,000) total cases of congenital syphilis in 2016, resulting in over 200,000 stillbirths and neonatal deaths . According to data from 78 Provincial and Municipal establishments and a National Hospital in Buenos Aires province, for the year 2016, the prevalence of congenital syphilis was 2.2% . We present a case of CS with musculoskeletal manifestations in order to reflect on the path until the diagnosis was reached. Early recognition might be hampered if physicians do not consider CS as a possible diagnosis. Case: A 37-day-old female infant whose disease onset was pain and flaccid paralysis of the upper limbs over the last week; neither history of trauma or fever and without diagnosis suspicion was referred to a more complex hospital for diagnosis and treatment.
Andrea S, Pablo GM, Mariana L, Adriana DPP, Leticia S, Paula D. Pseudoparalysis of Parrot: High Index of Suspicion, The Key for Diagnosis. Clin Case Rep Int. 2022; 6: 1418.