American Journal of Medical and Biological Research. 2015, 3(3), 74-75
DOI: 10.12691/AJMBR-3-3-2
Research Article

Fetal Pleural Effusion as A Echographic Marker of Congenital Syphilis

Caroline Mombaque dos Santos1, Wendel Mombaque dos Santos2, , Francisco Maximiliano Pancich Gallarreta2, Caroline Eckerdt Schroer1 and Edson Nunes de Morais1

1Fetal medicine department, Federal University of Santa Maria, Santa Maria/RS, Brazil

2Occupational health department, Brazilian Company of Hospital Services, Santa Maria/RS, Brazil

Pub. Date: May 31, 2015
(This article belongs to the Special Issue Advances in gynecology and obstetrics)

Cite this paper

Caroline Mombaque dos Santos, Wendel Mombaque dos Santos, Francisco Maximiliano Pancich Gallarreta, Caroline Eckerdt Schroer and Edson Nunes de Morais. Fetal Pleural Effusion as A Echographic Marker of Congenital Syphilis. American Journal of Medical and Biological Research. 2015; 3(3):74-75. doi: 10.12691/AJMBR-3-3-2

Abstract

PURPOSE: To report a case of fetal pleural effusion with antenatal diagnosis of congenital syphilis. CASE DESCRIPTION: Patient aged 24 years, two previous vaginal deliveries, without pre-natal exams, referred to the Fetal Medicine Unit of the University Hospital of Santa Maria due to preterm labor, without gestational age. Performed obstetric ultrasound that identifies bilateral pleural effusion without fetal hemodynamic consequences plus polyhydramnios and fetal growth consistent with 32 weeks and 3 days. Maternal syphilis diagnose and started treatment for patient and the partner. Patient had premature rupture of two days after admission membranes, evolving in 24 hours for vaginal delivery for women and newborns, Apgar 8 -10, 1834 g, which had a positive VDRL and remained hospitalized for treatment of congenital syphilis and gain weight. Pleural effusion regressed spontaneously. CONCLUSIONS: pleural effusion are a complication of congenital syphilis may be part of fetal hydrops and is an unusual fetal complication of a preventable disease, an alert to public health.

Keywords

Syphilis, Congenital, Ultrasonography, Prenatal, Pleural effusion

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Damasceno ABA, Monteiro DLM, Rodrigues LB, Barmpas DBS, Cerqueira LRP, Trajano AJB. Sífilis na gravidez. Revista HUPE, Rio de Janeiro, 2014; 13 (3): 88-94.
 
[2]  Souza BC, Santana LS. As consequências da sífilis congênita no binômio materno-fetal: Um estudo de revisão. Interfaces Científicas -Saúde e Ambiente. Aracaju. V.1. N.3. p. 59-67. jun. 2013.
 
[3]  Magalhães DMS, Kawaguchi IAL, Dias A, Calderon IMP. A sífilis na gestação e sua influência na morbimortalidade materno-infantil. Com. Ciências Saúde, 2011; 22 (1): S43-S54.
 
[4]  Quintal VS, Vaz FAC. Sifilis congenita com hidropsia fetal: caso em foco. Pediatria (Säo Paulo); 16 (2):7 8-81, 1994.
 
[5]  Souza PGC, Braga Neto AR, do Val IC, Ferreira DC, Galvão CR, Reis HLB. Alterações neonatais de sífilis congênita em um hospital universitário do município de Niterói, Rio de Janeiro. DST - J bras Doenças Sex Transm 2013; 25 (2): 59-65.