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Nonvenereal Transmission of Syphilis in Infancy by Mouth-to-Mouth Transfer of Prechewed Food

Zhou, Pingyu MD, PhD; Qian, Yihong MD; Lu, Haikong MD; Guan, Zhifang MD

Sexually Transmitted Diseases: April 2009 - Volume 36 - Issue 4 - p 216-217
doi: 10.1097/OLQ.0b013e3181901c79
Note

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: zpyls@yahoo.com.

Received for publication May 3, 2008, and accepted October 3, 2008.

© Copyright 2009 American Sexually Transmitted Diseases Association