Congenital Syph？l？s: Case Report

Abstract A newborn boy was admitted to the neonatal intensive care unit because of prematurity (31 weeks gestation), respiratory distress and hydrops. His birthweight was 1990grams. On physical examination; he was not looking well with skin edema, hypotonia, multiple petechia and purpura, distended abdomen and hepatosplenomegaly. As-cites was found on abdominal ultrasonography. Laboratory workup revealed leukocytosis, anemia, trombocytopenia, high liver function tests, direct hyperbilirubinemia, hyperferritinemia and high AFP levels. He was started on antibiotics, IVIG and othersupportive treatment with a diagnosis of sepsis or hemochromatosis. However, in hisTORCH tests, VDRL was high, upon which a TPHA test was sent, and it was also positive in very high titers. His mother and father was also tested for TPHA, which wereboth high. He was started on crystalized penicillin therapy and his parents were treated in the Infection department. His routine follow up and treatment for prematurityand related disorders were completed and he was discharged on day 69 of life. In suspected cases, we should always remember congenital syphilis in differential diagnosis even if there is no family history