Syphilis ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

Ultrasound only plays a role as part of the routine prenatal screening. In cases of congenital syphilis that was not detected on laboratory tests, antenatal sonogram may demonstrate non-specific findings such as placentomegaly, fetal hepatosplenomegaly, bent long bones, and fetal ascites.

Ultrasound

Antenatal sonographic features are often non specific and mimic those of the generalised in utero infection. Such features include:

• Fetal hepatosplenomegaly
• Placentomegaly
• Fetal ascites
  

In severe cases there may be evidence of

• Fetal hydrops
• Bent fetal long bones