[Question #2315] Congenital syphilis - How to proceed
44 months ago
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Hello again,
First of
all, sorry if my questions are outside of your area of expertise. Second, I was
not completely honest in my first post. Yes, It all began with a drunken risky
relation with a CSW; but I was so unfortunate as to have at the same time an
unexplainable candida infection in the tongue. The two things together made me don’t
believe my negative HIV tests. Incredibly, after some time despairing, I began
to drink and visit CSWs – about 10 times. Every time I did I tested for HIV.
Now I’m
sure the astronomically unlikely has happened to me and I infected my child. To
recap, at 5 months mysterious febrile illness for two months; since 14 months until
now, serous, recurrent otitis; at 22 months, febrile illness with
hepatosplenomegaly. Now we see he had a very very abnormal teeth and that his
forehead is pretty prominent. He got a swollen neck node one month ago; two
days ago, he got a rash in his genitals and around his anus; and also about
five purple lesions –behind its ears and in the chest. I went to his doctor;
she is intrigued but not worried.
I had three
treponemal tests in the blood bank about 2 years after the infection and after
two different weekly rounds of 3 grams of amoxicillin daily; my wife had two
RPR negative tests in her pregnancy and here all tests offered by private labs
are RPR or VDRL. She is not eligible to give blood. So, the only option is to have my
child tested. I’d like you to advice me on how to proceed. For example, Should
I go to ER and tell directly my suspicions? Or, go to ER and just show them all
the symptoms and let the doctors decide?
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Edward W. Hook M.D.
44 months ago
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44 months ago
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