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Prolonged Fetal Bradycardia as the Presenting Clinical Sign in Congenital Syphilis Complicated by Necrotizing Funisitis : A Case Report
Joint Authors
Gomibuchi, Hideto
Sadatsuki, Miyuki
Minoura, Shigeki
Masuya, Norio
Kakogawa, Jun
Hoshimoto, Kazuhusa
Source
ISRN Obstetrics and Gynecology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-04-06
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Syphilis remains a serious cause of neonatal morbidity and mortality worldwide.
In this paper, we describe a case of congenital syphilis that was fully supported by abnormal fetal heart rate patterns and placental histopathological evidence.
A 24-year-old para 4 woman, who did not attend antenatal care, was admitted to our hospital with a complaint of abdominal discomfort at an estimated 31-week gestation.
Fetal heart rate monitoring showed prolonged bradycardia.
A neonate weighting 1,423 g with severe birth asphyxia was immediately delivered by cesarean section.
Following delivery, the mother and the neonate were diagnosed with syphilis.
Histopathological examination confirmed severe chorioamnionitis and necrotizing funisitis with numerous Treponema pallidum.
Conclusions.
Challenges in establishing the diagnosis of necrotizing funisitis are essential for optimal management of a fetus with a systemic inflammatory response in utero.
American Psychological Association (APA)
Kakogawa, Jun& Sadatsuki, Miyuki& Masuya, Norio& Gomibuchi, Hideto& Minoura, Shigeki& Hoshimoto, Kazuhusa. 2011. Prolonged Fetal Bradycardia as the Presenting Clinical Sign in Congenital Syphilis Complicated by Necrotizing Funisitis : A Case Report. ISRN Obstetrics and Gynecology،Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-463243
Modern Language Association (MLA)
Kakogawa, Jun…[et al.]. Prolonged Fetal Bradycardia as the Presenting Clinical Sign in Congenital Syphilis Complicated by Necrotizing Funisitis : A Case Report. ISRN Obstetrics and Gynecology No. 2011 (2011), pp.1-3.
https://search.emarefa.net/detail/BIM-463243
American Medical Association (AMA)
Kakogawa, Jun& Sadatsuki, Miyuki& Masuya, Norio& Gomibuchi, Hideto& Minoura, Shigeki& Hoshimoto, Kazuhusa. Prolonged Fetal Bradycardia as the Presenting Clinical Sign in Congenital Syphilis Complicated by Necrotizing Funisitis : A Case Report. ISRN Obstetrics and Gynecology. 2011. Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-463243
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-463243