J Korean Soc Neonatol.  2008 Nov;15(2):207-211.

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

• Jung JS
• Park SW
• Kim CS
• Lee SL
• Kwon TC

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.

Keyword

Congenital syphilis; Non-immune hydrops fetalis

MeSH Terms

Anemia
Ascites
Ascitic Fluid
Bradycardia
Cesarean Section
Emergencies
Female
Humans
Hydrops Fetalis
Infant, Newborn
Penicillins
Pregnancy
Purpura
Serologic Tests
Syphilis, Congenital
Ventilators, Mechanical
Penicillins