Clinical and epidemiological features of syphilis in pregnant women: The course and outcome of pregnancy

Citation
Gi. Mavrov et Tv. Goubenko, Clinical and epidemiological features of syphilis in pregnant women: The course and outcome of pregnancy, GYNECOL OBS, 52(2), 2001, pp. 114-118
Citations number
7
Language
INGLESE
art.tipo
Article
Categorie Soggetti
da verificare
Journal title
GYNECOLOGIC AND OBSTETRIC INVESTIGATION
ISSN journal
0378-7346 → ACNP
Volume
52
Issue
2
Year of publication
2001
Pages
114 - 118
Database
ISI
SICI code
0378-7346(2001)52:2<114:CAEFOS>2.0.ZU;2-1
Abstract
Clinical and epidemiological features of syphilis and the course and outcom e of pregnancy were studied in 155 pregnant women infected with syphilis; 9 5 (61%) women were unemployed, 47% were unmarried. Syphilis proceeded witho ut clinical manifestations in 121 cases (78%). Discordant results of comple ment fixation (Wassermann) test, precipitation test, Treponema pallidum imm obilization test, and fluorescent antibody test were observed in 22 (14%) o f the women. Pregnancy pathology was observed in 75 cases (48.8%) and more often appeared as anemia in 49 (31.5%), stillborn in 46 (29.8%) and toxicos is in 44 (28.4%). Fetal ultrasonic stigmas of infection were evident in 23 cases (49%). There was distension of the brain ventricle system and hepatom egaly each in 1 case (2%), transvascular infiltration of liver in 2 cases ( 4%), dilation of intestinal loops, gastromegaly, ventriculomegaly and petri faction in lungs each in 1 case; ultrasonic changes in vessels of organs: o f the liver in 4 cases (8%), intestines and stomach in 16 cases (32%), lung s in 4 cases (8%), kidneys in 10 cases (21%) and of the ventricular system in 9 cases (19%). Fetus development retardation was revealed in 3 cases (6% ), fetal hypoxia in 1 (2%), hypohydrosis in 2 (4%) and hydropsy in 1 case ( 2%). The pregnancy pathology in women with syphilis was considered not path ognomonic. Copyright (C) 2001 S. Karger AG, Basel.