title: An uncommon cause of neonatal respiratory distress.
abstract: We describe a term infant without any features of congenital infection, who presented with respiratory distress at birth. Respiratory distress persisted despite change of antibiotics, and chest radiography showed bilateral diffuse patchy infiltrates. Congenital infections screening obtained on the 10th day of life was reported positive for syphilis. The infant was started on penicillin G and came off oxygen within five days. Although the presentation of congenital syphilis as pneumonitis in the absence of other clinical signs is unusual, in view of the re-emergence of the disease, syphilitic involvement of the lungs should be considered in any infant presenting with persistent diffuse lung disease of unknown etiology.
authors.affiliation: Department of Pediatrics, Neonatal Intensive Care Unit, University of Patras Medical School, Rio, Patras, Greece.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Dimitriou
authors.forename: Ageliki A
authors.initials: AA
authors.lastname: Karatza
authors.forename: Alexandra
authors.initials: A
authors.lastname: Mermiga
authors.forename: Ioannis
authors.initials: I
authors.lastname: Giannakopoulos
authors.forename: Markos
authors.initials: M
authors.lastname: Marangos
authors.forename: Stefanos P
authors.initials: SP
authors.lastname: Mantagos
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D010400:Penicillin G / Q000008:administration & dosage; D011859:Radiography; D012127:Respiratory Distress Syndrome, Newborn / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology; D013590:Syphilis, Congenital / Q000150:complications* / Q000175:diagnosis; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D010400:Penicillin G