A two month old girl was admitted with paralysis of the right arm and diminished spontaneous movements of the right leg. Serological tests for syphilis were positive. X rays showed fractures of the right humerus and radius and also of the right femur. There was a marked periosteal reaction along the length of the long bones and erosions of the metaphyses of the tibia and the femur. The infant received the usual course of penicillin and after two weeks the paralysis disappeared. Later, it was found that the mother had been infected with syphilis by the father about a month after her routine tests for syphilis were found negative. The importance of a second serological test for syphilis towards the end of pregnancy is emphasized.
|State||Published - 1975|