Document Detail


Maternal/congenital syphilis in a large tertiary-care urban hospital.
MedLine Citation:
PMID:  8110928     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Among the women delivering a total of 9,591 infants in 1990 at Hutzel Hospital in Detroit, 148 had positive results in the rapid plasma reagin (RPR) and fluorescent treponemal antibody-absorption tests for syphilis. This group included primarily young, black, multigravid women with a history of crack cocaine use. RPR titers ranged from 1:1 to 1:256 among the 103 mothers not treated or inadequately treated for syphilis. Two mothers with very low RPR titers (1:2) delivered a stillborn infant and an infant with a reaction in the cerebrospinal fluid Venereal Disease Research Laboratory (CSF-VDRL) test, respectively. Seventy-five percent of the infants born to untreated or inadequately treated women had asymptomatic congenital syphilis. The remaining 25% were stillborn (6 infants) or had clinical features of congenital syphilis (3 infants), a reactive CSF-VDRL test (11 infants), or radiological evidence of periostitis or metaphysitis (6 infants). Abnormalities were documented in the placentas from 11 live births and one stillbirth. The resurgence of congenital syphilis highlights the need for better diagnostic tests and for studies that will determine optimal therapy for mother and infant.
Authors:
M P Reyes; N Hunt; E M Ostrea; D George
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  17     ISSN:  1058-4838     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-03-25     Completed Date:  1994-03-25     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1041-6     Citation Subset:  IM    
Affiliation:
Department of Medicine, Wayne State University, Detroit, Michigan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Epidemiologic Factors
Female
Hospitals, Urban
Humans
Infant, Newborn
Male
Michigan / epidemiology
Penicillin G Benzathine / therapeutic use
Pregnancy
Pregnancy Complications, Infectious / diagnosis,  drug therapy,  epidemiology*
Pregnancy Outcome
Syphilis / complications*,  diagnosis,  epidemiology*
Syphilis Serodiagnosis
Syphilis, Congenital / diagnosis,  drug therapy,  epidemiology*
Chemical
Reg. No./Substance:
1538-09-6/Penicillin G Benzathine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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