AI Summary & Key Takeaways
AI InsightIn Turkey although there is no supportive data for routine testing, targeted screening of patients who imigrate from high-risk countries, who had sexual intercourse with high-risk person, and whose partner is working in high-risk countries should be screened at the beginning of pregnancy, and rescreened at the beginning of the third trimester.
📌 3 Key Takeaways
Abstract
The aim of this study is to report a case of congenital syphilis which was diagnosed at 28th gestational week with hydrops fetalis. A 20-year-old primigravid woman imigrant from Moldavia was referred to our perinatology unit at 28th gestational week because of fetal ascites. Her blood group was 0 Rh positive and her husband’s was B Rh positive. She was diagnosed as nonimmun hydrops fetalis. A day following the admission the fetus died. By the diagnostic work-up congenital syphilis was demonstrated, and the mother was treated conveniently. In Turkey although there is no supportive data for routine testing, targeted screening of patients who imigrate from high-risk countries, who had sexual intercourse with high-risk person, and whose partner is working in high-risk countries should be screened at the beginning of pregnancy, and rescreened at the beginning of the third trimester.
Özet
Bu çalışmada hidrops fetalis olarak belirti veren bir konjenital sifiliz olgusu sunulmaktadır. Moldovya göçmeni, 20 yaşında primigravid bir kadın perinatolojt kliniğimize 28. gebelik haftasında fetal asit nedeni ile refere edildi. Annenin kan grubu 0 Rh pozitif ve kocasının B Rh pozitif idi. Hasta nonimmün hidrops fetalis olarak kabul edildi. Hospitalizasyonun ertesi günü intrauterin fetal exitus gerçekleşti. Diagnostik çalışmalar neticesinde fetüse konjenital sifiliz tanısı konuldu ve annenin tedavisine hemen başlandı. Ülkemizde rutin tarama için yeterli destekleyici data olmasına rağmen yüksek risk bulunan ülkelerden göç eden hastalar, yüksek riskli kişilerle cinsel ilişkide bulunma hikâyesi olanlar, kendisi veya erkek arkadaşı/kocası yüksek riskli ülkelerde çalışan kadınlar gebelik tanısı konulduğunda ve üçüncü trimester başında sifiliz için taramadan geçirilmelidir.