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Congenital syphilis—missed opportunities for prenatal intervention
  1. Krasimira Chudomirova1,
  2. Elena Mihajlova2,
  3. Ivan Ivanov2,
  4. Stefan Lasarov3,
  5. Penka Stefanova3
  1. 1Clinic of Dermatology and Venereology, Higher Medical Institute-Plovdiv, Bulgaria
  2. 2Clinic of Pediatrics
  3. 3Clinic of Pediatric Surgery
  1. Correspondence to:
 Krasimira Chudomirova, MD, PhD, Clinic of Dermatology and Venereology, 1, Gen Stoletov Str, 4002 Plovdiv, Bulgaria;
 ivan{at}rakursy.com

https://doi.org/10.1136/sti.78.3.224

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    The changes in political, economic, and social life in the eastern European countries—that is, greater group mobility, substanial rise in travel activity, changes of the sexual behaviour are all related to the increased syphilis morbidity.1,2 There has been a sevenfold increase in the syphilis morbidity in Bulgaria in 1999 compared with 1990—that is, 2628 v 378 diagnosed cases respectively,3 in 2000 there were 1605 cases. An increased number of syphilis patients among adults, and especially among pregnant women, reflected the growing incidence of congenital syphilis. The incidence of congenital syphilis in Bulgaria increased from one case in 1990 to 31 in 2000. This is observed as one of the most alarming trends in morbidity.

    We report four infants with congenital syphilis—a 20 day old male infant, two male newborns, and a 2 month old female. The children were in quite a …

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