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All Journal Medical Journal of Indonesia Berkala Ilmu Kesehatan Kulit dan Kelamin Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Media Dermato-Venereologica Indonesiana Journal of General Procedural Dermatology and Venereology Indonesia Bali Dermatology Venereology and Aesthetic Journal Jurnal Kedokteran Meditek
Hanny Nilasari
Departemen Dermatologi Dan Venereologi, Fakultas Kedokteran Universitas Indonesia/RSUPN Dr. Cipto Mangunkusumo, Jakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Incidental Finding of Untreated Secondary Syphilis in a Pregnant Woman in a Limited Resource Area: A case report Edelyne Chelsea; Hanny Nilasari; Yudo Irawan; Raymond Surya
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 38 No. 2 (2026): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikkk.V38.2.2026.170-174

Abstract

Background: Syphilis is a global burden of sexually transmitted infection caused by Treponema pallidum sub. pallidum with high epidemiology worldwide, including Indonesia. Syphilis in pregnancy is the second-leading cause of stillbirth. Syphilis can cause perinatal consequences for a developing fetus if left untreated. Case: We found an incidental case of untreated secondary syphilis in a 21-year-old primigravida woman. She had multiple erythematous, hyperpigmented maculopapular rashes on her trunk and extremities, as well as condylomata lata on her vulva. The Treponema pallidum-rapid (TP-rapid) test was reactive. During her pregnancy, she never received antenatal care or any treatment for her condition. The patient underwent caesarean section. The baby showed no clinical sign of congenital syphilis but tested reactive for TP-rapid. In a single dose, both the patient and her baby received a benzathine-penicillin G intramuscular injection in single dose. The baby was referred back to primary health care for close monitoring of its growth and development. Discussion: This is a missed case of typical secondary syphilis. Due to the failure of early diagnosis, early treatment for the patient was not possible. The baby was also at high risk of congenital syphilis. In a limited resource area, primary healthcare facilities play a key role in solving the problem through updated data collection of pregnant women, comprehensive antenatal care, education about sexually transmitted infection, early screening, and treatment.
Co-Authors Adisasmito, Ayutika Saraswati Anggraini, Ika Aria Kekalih Asep Purnama Azizah, Anggita Nur Banunaek, Diana Chelsea, Edelyne Cornain, Emilina Faradila Danang Agung Yunaidi Edelyne Chelsea Eliza Miranda Evita Halim Effendi Eyleny Meisyah Fitri Febrianti, Tia Githa Rahmayunita Gondokaryono, Srie Prihianti Halim, Melissa Hartono Gunardi Haswinzky, Rose Amalia Hutasuhut, Magna Fitriani I Putu G Kayika Irawan, Yudo Jacoeb, Tjut Nurul Alam Jhauharina Rizki Fadhilla Junita Indarti Kemal N. Siregar Krisanti, Inge Ade Krisna, Made Ananda Kurniawan, Kristian Larisa Paramitha Lesmana, Elvira Lidwina Anissa Lili Legiawati Manurung, Edward Sugito Marissa, Melani Martinus, Martinus Melinda, Thong Felicia Menaldi, Sri Linuwih Susetyo Wardhani Nanda L. Prasetya Natalia Rania Sutanto Noer Kamila Nur Azizah, Anggita Padang, Caroline Purba, Herliyani Rahadi Rihatmadja Raymond Surya Raymond Surya Rinadewi Astriningrum Riyan H Kurniawan Riyan H Kurniawan, Riyan H Roro Inge Ade Krisanti Sandra Widaty Santoso, Irene Dorthy Saroyo, Yudianto Budi Shannaz Nadia Yusharyahya Sirait, Sondang Panjaitan Siti Farida Sjaiful Fahmi Daili Toyoshima, Haruko Triana Agustin Windy Atika Hapsari, Windy Atika Wresti Indriatmi B. Makes Yudo Irawan Yudo Irawan