Examinando por Materia "Prenatal treatment"

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Secondary syphilis in a pregnant adolescent at the central military hospital in 2019
(Universidad Privada Norbert Wiener, 2022-05-03) Serna Cruz, Juliana; Salazar Granada, Alberto Alcibiades
The clinical case of secondary syphilis in an adolescent pregnant woman is presented. Syphilis is a sexually transmitted infectious disease exclusive to humans, bloodborne, and perinatal, caused by the spirochete Treponema pallidum. When pregnant women acquire the infection, they must receive treatment, as it can infect the fetus at any stage of its clinical phases. A 13-year-old patient with secondary syphilis during pregnancy began her first prenatal visit with specialized care. The pregnant woman did not receive a thorough clinical examination during the first consultation, no risk factors were identified, no clinical manifestations were reported, no laboratory tests were performed, and she did not attend her prenatal visits, making her a high-risk obstetric case due to her age. She returned at 26 weeks and 6 days of gestation through the emergency department of the Military Hospital, presenting clinical manifestations of syphilis with an RPR result of 32 dilutions. Obstetrically, she had no uterine contractions, fetal heartbeats were 138 beats per minute, and fetal movements were present. She was hospitalized, received 2 doses of treatment for syphilis, and the third dose was administered at the end of the pregnancy. The pregnancy ended with a cesarean section and a live newborn, with a negative non-treponemal test. Follow-up for the neonate continued.