PRIMARY SYPHILIS AND NONIMMUNE FETAL HYDROPS IN A PENICILLIN-ALLERGICWOMAN - A CASE-REPORT

The incidence of congenital syphilis is on the rise. Penicillin contin ues to be the drug of choice for it during pregnancy. A penicillin-all ergic woman with primary stage syphilis who was treated initially with erythromycin presented with fever and nonimmune fetal hydrops seconda ry to an intrauterine syphilitic infection. Following desensitization and penicillin therapy the fetal hydrops disappeared, the pregnancy co ntinued to term, and the patient delivered a small-for-gestational-age but otherwise normal infant who continued to do well up to 1 year of age.