Early congenital syphilis in the context of modern medicine

A case report describing a boy born at 33 weeks of gestation via emergency cesarean section to a mother with low social and moral status. At birth, the child had symptoms that were pathognomonic for congenital syphilis and not occurring with acquired syphilis (Hochsinger diffuse infiltration of the skin) as well as general and local symptoms that are also found in other intrauterine infections (the “senile appearance” of the neonate, hepatosplenomegaly, etc.). After a timely and complete examination, including serological tests for syphilis and consultations with related specialists, the child was diagnosed with early congenital syphilis and prescribed specific treatment in accordance with the protocol for syphilis management. Throughout the course of the treatment, the child’s condition remained severe but stable, and there was a positive trend in laboratory parameters. After completing the treatment and rehabilitation, the child was discharged to continue home rehabilitation and monitoring.