In France, the resurgence of syphilis infection since the beginning of the 2000s, with cases reported among women of reproductive age is a reason for concern considering the possible occurrence of congenital syphilis (CS). Using the French national private and public hospital database, we investigated the number of children with a diagnosis of CS born in France in 2004. Six cases less than one year old were identified as probable CS in the database. Two of these cases were adopted children from outside Europe, whereas the other four were born in France. The mothers of these last four infants tested positive for syphilis during the third trimester of pregnancy, two of them during premature delivery. Three of the four mothers were born abroad. Specific socio-cultural conditions may have been responsible for a lack of antenatal care responsible for the disease. Since CS is a preventable disease and the treatment of syphilis infection is cost-effective, we conclude that surveillance of CS cases and assessment of syphilis screening practises during pregnancy should be performed to prevent the occurrence of CS cases in France.
[Show abstract][Hide abstract] ABSTRACT: Human cytomegalovirus (HCMV) is considered the most frequent cause of congenital infection, occurring in 0.2 to 2.2% of all live births. Since this is a wide range of prevalences observed in different studies, it would be desirable to investigate the prevalence of this infection at national level. The aim of this study was the evaluation of the national prevalence of HCMV congenital infection. We analysed a total of 3,600 Guthrie cards collected from Portuguese newborns during a period of 14 months (August 2003 to September 2004). The cards covered all regions of Portugal and were proportional to the number of births in each region. A heat DNA extraction method was used, followed by DNA amplification by nested PCR. Sensitivity and specificity of this method were evaluated as 93% and 100%, respectively, using 28 cards from HCMV-positive and 280 cards from HCMV-negative children. The national prevalence of congenital HCMV was determined as 1.05% (95% confidence interval: 0.748-1.446). This is the first study of the prevalence of HCMV congenital infection at national level in Portugal. It suggests that Portugal may have one of the highest prevalences of congenital HCMV infection in Europe.
Eurosurveillance: bulletin europeen sur les maladies transmissibles = European communicable disease bulletin 02/2009; 14(9):13-5. · 5.72 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Alors qu'elle est actuellement oubliée dans les pays développés, la syphilis congénitale se voit encore chez nous faute du dépistage anténatal. Ses formes cliniques sont polymorphes et orientent à tord vers d'autres pathologies surtout en période néonatale. Le diagnostic n'est donc pas toujours facile. La révélation d'une syphilis congénitale par une fracture spontanée est exceptionnellement décrite. Nous rapportons dans ce travail le cas d'un nourrisson de 2 mois ramené en consultation pour limitation douloureuse des mouvements du bras droit. Le diagnostic est évoqué sur les données radiologiques et confirmé par la sérologie syphilitique. Le traitement a reposé essentiellement sur l'administration de la pénicilline G avec une bonne évolution clinique.
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