See also general section on "Syphilis"
I. Congenital syphilis:
- Results from maternal spirochetemia during pregnancy
- Can cause stillbirth, nonimmune fetal hydrops, IUGR, & preterm labor.
- Suspect anytime you see large placenta, unexplained hydrops, rash, or rhinitis.
- Late congenital syphilis: >2yo; presents with dental abnormalities, saddle nose, pick-shaped permanent incisors, keratosis of eye.
II. Treatment of pregnant women: PCN G; if using erythromycin, need to treat baby after delivery because it crosses placenta poorly