[Not a fall--not abuse--not a rare finding?].
A baby was brought into the accident and emergency department with X-ray pictures and with a plaster cast in place because of a pain reaction in the right arm. The pictures showed destruction of the epiphyseal region and double periosteal contours. Alterations of the same kind were found in all long bones; they were recognized as compatible with florid congenital syphilis, which was confirmed by reference to the history and the laboratory findings and was successfully treated with penicillin G in the pediatric department. Both parents were also treated. No traumatological/orthopedic treatment was given, and the plaster cast was removed. Following recognition of the signs described a complete cure was possible.
dr.schultz_orthopaedie@web.de
T
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Schultz
D000058:Accidental Falls; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002649:Child Abuse; D006801:Humans; D007231:Infant, Newborn; D010400:Penicillin G / Q000008:administration & dosage*; D011859:Radiography; D035583:Rare Diseases; D013590:Syphilis, Congenital / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D034941:Upper Extremity / Q000000981:diagnostic imaging*
D000900:Anti-Bacterial Agents; D010400:Penicillin G