Early recognition of acquired syphilis in childhood is vital. Children may acquire syphilis as a consequence of kissing, breast-feeding, or handling. We report 2 cases of infantile syphilis transmitted by mouth-to-mouth feeding from actively infected relatives. Syphilis should be suspected in children presenting with atypical rashes accompanied by headache, sore throat, and adenitis, especially if family members are affected by active syphilis.
From the Department of STD Institute, Shanghai Skin Disease and STD Hospital, Shanghai, China
The authors thank Kefei Kang and Dr. Shun Lv for their helpful comments in writing this article.
Correspondence: Pingyu Zhou, MD, PhD, Department of STD Institute, Shanghai Skin Disease and STD Hospital, 196 Wuyi Road, Shanghai, China, 200050. Email: firstname.lastname@example.org.
Received for publication May 3, 2008, and accepted October 3, 2008.