Secondary syphilis in a pregnant adolescent at the central military hospital in 2019

Abstract

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.

Se presenta el caso clínico sífilis secundaria en gestante adolescente. La sífilis es una enfermedad infecciosa de trasmisión sexual exclusiva del humano, sanguínea y perinatal causada por la espiroqueta treponema pallidum, al adquirir la infección debe recibir tratamiento las gestantes ya que puede infectar al feto en cualquiera de sus fases clínicas. Paciente de 13 años de edad con sífilis secundaria durante la gestación ,inicia su primer control pre natal con una atención especializada , gestante no recibió en la primera consulta un examen clínico exhaustivo, no identificaron factores de riesgo, no refirió manifestaciones clínicas ,tampoco se realizó sus pruebas de laboratorio y no acudió a sus controles pre natales siendo el caso de riesgo obstétrico por ser adolescente. Retornando a las 26 semanas y 6 días de gestación por emergencia del Hospital militar, gestante adolescente con manifestaciones clínicas de sífilis con un resultado de RPR de 32 diluciones, obstétricamente no presento contracciones uterinas, latidos fetales cardiacos 138 x minuto ,movimientos fetales presentes, se hospitalizo, recibió tratamiento 2 dosis para sífilis y la tercera dosis recibió al final de la gestación , culmina en cesárea con recién nacido vivo, con prueba no treponemica negativa, continuar seguimiento al neonato.