A Case of Non-immune Hydrops Fetalis due to Congenital Syphilis.

Jung,  Ji Sun; Park,  Sang Woo; Kim,  Chun Soo; Lee,  Sang Lak; Kwon,  Tae Chan

Case Report

Journal of the Korean Society of Neonatology 2008;15(2):207-211.
Published online November 1, 2008.

A Case of Non-immune Hydrops Fetalis due to Congenital Syphilis.

Ji Sun Jung, Sang Woo Park, Chun Soo Kim, Sang Lak Lee, Tae Chan Kwon

Department of Pediatrics, School of Medicine, Keimyung University, Daegu, Korea. lsl@dsmc.or.kr

선천성 매독에 의한 비면역성 태아수종 1례

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Abstract

Congenital syphilis is a rare cause of non-immune hydrops fetalis. We cared for a neonate with hydrops fetalis who was delivered by emergency Cesarean section due to prolonged fetal bradycardia and ascites at 34 weeks of gestation. He had anemia, purpura, and hepatosplenomegaly, and the serologic tests revealed congenital syphilis (high titers of serum VDRL and TPHA, and a positive serum FTA-ABS IgM). He survived after aspiration of ascitic fluid, ventilator care, and intravenous penicillin therapy. We report a case of non-immune hydrops fetalis due to congenital syphilis with a brief review of literature.

Key Words: Congenital syphilis; Non-immune hydrops fetalis