The Turkish Journal of Pediatrics 2010 , Vol 52 , Num 6
An Uncommon Cause of Neonatal Respiratory Distress
department of Pediatrics, Neonatal Intensive Care Unit, and 2Department of Internal Medicine, Infectious Diseases Section, University of Patras Medical School, Rio, Patras, Greece Dimitriou G, Karatza AA, Mermiga A, Giannakopoulos I, Marangos M, Mantagos SP. An uncommon cause of neonatal respiratory distress. Turk J Pediatr 2010;52: 642-644.

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. Keywords : congenital syphilis, pneumonia alba, syphilitic pneumonitis, neonatal respiratory distress, syphilis screening.

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