title: Congenital syphilis: The continuing scourge.
abstract: Congenital syphilis is a severe, disabling infection that occurs due to the transmission of Treponema pallidum across the placenta during pregnancy or from contact with an infectious genital lesion during delivery. However, its early diagnosis is often difficult because more than half of the affected infants are asymptomatic, and the signs in symptomatic infants may be subtle and nonspecific. Although its incidence is declining, this long-forgotten disease continues to affect pregnant women, resulting in considerable perinatal morbidity and mortality. We hereby report a case of a 2-month-old infant with early congenital syphilis presenting with joint swellings and Parrot's pseudoparalysis, a comparative rarity in the present scenario. The report also stresses upon the importance of implementing the Centres for Disease Control and Prevention recommendation that all the pregnant women should be screened for syphilis in the first antenatal visit in the first trimester and again in late pregnancy.
authors.affiliation: Department of Skin and VD, Gordhandas Sunderdas Medical College and King Edward Memorial Hospital (GSMC and KEMH), Mumbai, Maharashtra, India.
authors.forename: Prachi G
authors.initials: PG
authors.lastname: Agrawal
authors.affiliation: Department of Pediatrics, Bai Jerbai Wadia Children's Hospital, Mumbai, Maharashtra, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Joshi
authors.affiliation: Department of Skin and VD, Gordhandas Sunderdas Medical College and King Edward Memorial Hospital (GSMC and KEMH), Mumbai, Maharashtra, India.
authors.forename: Vidya D
authors.initials: VD
authors.lastname: Kharkar
authors.affiliation: Department of Pediatrics, Bai Jerbai Wadia Children's Hospital, Mumbai, Maharashtra, India.
authors.forename: M V
authors.initials: MV
authors.lastname: Bhaskar
keywords: Congenital syphilis; Parrot's pseudoparalysis; Treponema pallidum; venereal disease research laboratory