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Prenatal diagnosis of congenital syphilis using two- and three-dimensional ultrasonography: case report.
MedLine Citation:
PMID:  22957281     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The numbers of syphilis cases have been increasing considerably, especially in eastern europe, thereby contributing towards greater chances of cases of congenital syphilis. Some of the complications of congenital syphilis can be detected on two-dimensional ultrasonography (2DUS), and these are generally manifested in the second trimester of pregnancy. The commonest ultrasonographic signs are hepatosplenomegaly, placentomegaly, and fetal growth restriction, while lower-frequency occurrences include intrahepatic calcifications, ascites, fetal hydrops, and even fetal death. Three-dimensional ultrasonography (3DUS) is a relatively new imaging technique that is adjuvant to 2DUS and enables detailed assessment of the fetal surface anatomy. We present a case of a 21-year-old primigravida with a diagnosis of congenital syphilis, with obstetric 2DUS findings of hepatosplenomegaly, ascites, pericardial effusion and hyperechogenicity of the cerebral parenchyma. 3DUS in rendering mode allowed clear assessment of the fetal limbs, especially the feet, which appeared twisted and lacked some toes. It allowed the parents to understand the pathological condition better and improved prenatal management and neonatal followup. 3DUS can be used routinely for assessing fetal malformations resulting from congenital infections.
Authors:
Edward Araujo Júnior; Eduardo Felix Martins Santana; Liliam Cristine Rolo; Luciano Marcondes Machado Nardozza; Antonio Fernandes Moron
Publication Detail:
Type:  Journal Article     Date:  2012-08-21
Journal Detail:
Title:  Case reports in infectious diseases     Volume:  2012     ISSN:  2090-6633     ISO Abbreviation:  Case Rep Infect Dis     Publication Date:  2012  
Date Detail:
Created Date:  2012-09-07     Completed Date:  2012-09-10     Revised Date:  2013-04-02    
Medline Journal Info:
Nlm Unique ID:  101573243     Medline TA:  Case Rep Infect Dis     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  478436     Citation Subset:  -    
Affiliation:
Department of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 apto. 113 Visage, Vila Leopoldina, São Paulo 05303-000, SP, Brazil.
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