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KMID : 0605820140210010065
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Korean Journal of Pediatric Infectious Diseases
2014 Volume.21 No. 1 p.65 ~ p.70
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Congenital Syphilis: An Uncommon Cause of Gross Hematuria, Skin Rash, and Pneumonia
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Shim Sun-Hee
Kim Ju-Young
Lee Eu-Kyoung
Bang Kyong-Won
Cho Kyoung-Soon
Lee Ju-Young
Suh Jin-Soon
Bin Joong-Hyun
Kim Hyun-Hee
Lee Won-Bae
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Abstract
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Although congenital syphilis can be prevented with prenatal screening, the disease remains problematic. Currently, there are no cases that describe hematuria and pneumonia related to congenital syphilis. We report a case of congenital syphilis that involved nephrotic syndrome and pneumonia alba in a 22-day-old male infant whose mother did not receive adequate prenatal care. The congenital syphilis diagnosis was confirmed with a serologic test and the patient recovered with penicillin treatment. Clinical findings may be subtle in neonates and delayed recognition occurs frequently, thus complete prenatal screening is critical for congenital syphilis prevention. Immediate serologic testing should be performed to obtain a differential diagnosis if an infant is delivered by a mother that has not received appropriate prenatal examinations.
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KEYWORD
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Congenital syphilis, Nephrotic syndrome, Pneumonia, Hematuria
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