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Congenital syphilis

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Congenital syphilis 

  • Caused by Treponema pallidum
  • Presents with facial abnormalities 
    • saddle nose
    • notched (Hutchinson) teeth 
    • rhagades (linear scars at angle of mouth)
    • snuffles (nasal discharge) 
    • mulberry molars
    • short maxilla
  • saber shins
  • CN VIII deafness
  • Prevention
    • treat mother with penicillin early in pregnancy
      • placental transmission typically occurs after first trimester