This baby girl was born premature at 36 weeks gestation via non-emergent c-section. In the delivery room, she presented with decreased tone, respiratory distress, and desaturation.

The patient's mother has a past medical history of psychosis and substance abuse. She did not seek prenatal care for her current pregnancy. Before delivery, she was rapid plasma reagin (RPR) test reactive and had positive titers of Treponema pallidum antibodies (TP-A) at 1:128.

Osseous findings of the baby girl at 8 days are consistent with the provided history of in utero syphilis infection, or congenital syphilis.

The baby was treated with Penicillin G.

This case was submitted with supervision and input from:

Soni C. Chawla, M.D.                                                                                                
Associate Professor                                       
Department of Radiological Sciences                      
David Geffen School of medicine at UCLA               
Olive View-UCLA Medical Center