Early-onset congenital bone X-ray diagnosis of syphilis.docVIP

 PAGE \* MERGEFORMAT 10 Early-onset congenital bone X-ray diagnosis of syphilis Congenital syphilis is Treponema pallidum from the blood line of the mother through the placenta and infect the fetus circulating bone, is divided into early-onset and late-onset type 2. Early-onset refers to children from birth to 4 years of age the incidence. After the liberation of China has been rare, however, eighties, along with the adults, a rapid increase in the incidence of syphilis, congenital syphilis has increased. Investigation of domestic past five years, cases were relevant literature, the Court found that half of this year three cases, data integrity, and these are as follows, combined with the literature discussion to our attention. I. Case Report Cases of a male, 70 days, due to nasal congestion, fever, abdominal distension 20 days of admission. Examination: body temperature of 38C, liver ribs 5.0cm, spleen and ribs 4.0cm, laboratory tests: WBC14.43 × 109 / L, abnormal liver function. You have the rule of the father in children with a history of admission in children with their parents and children with TPHA, RPR were positive, RPR titer of 1:32, respectively father, mother 1:32, children 1:64. X-ray findings: long bone photo shows the right femur, tibia, fibula with mild parallel-like periosteum, I was no exception. Chest X-ray showed pneumonia in the lower left. Cases of two, male, 57 days, one and a half months admitted to hospital because of abdominal distension. Examination: body temperature normal, liver, spleen and ribs 4.0cm, laboratory tests: WBC16.5 × 109 / L, abnormal liver function. Children with a parent with the rule of travel history, suffered from “syphilis,” children on admission, check the mother has a hard chancre, parents and children with TPHA, RPR were positive, children with CMV antibodies (CMV-IGM)-positive, suggesting that while the merger Cytomegalovirus infection. X-ray findings: long bone-shaped photo per