On October 5, 2017, 5:10 am, in the guard room of the Hospital of Obstetricians and Gynecologists in Ploiesti comes from a near village, a 41-year-old pregnant woman, unmarried, housewife, for painful uterine contractions.
Following the anamnesis and the examination of the specialist the diagnostic is established: X G IX P prenancy in 40 weeks, fetus alive, cranial breech, intact membranes, multiparity, lower limbs varicose veins, uninvestigated pregnancy. At 11:20, spontaneously gives birth to a live fetus, male, weighing 3400 grams, Apgar 9, with a tight circular cord, intact soft parts and delivery driven by placenta.
The mother is tested for syphilis at birth with rapid tests LABORQUIK ANTI SYPHILIS TEST-LBSY01.The result is positive. A blood sample of both the mother and the newborn is then collected, which is sent to the Prahova Sanitary Directorate. The results for mother are as follows:
-TEST TPHA-haemagglutination Passive PS-LM-01 (Reagents-DIALAB 1753/7051971)-Positive 1 +
-Test RPR-Test nontreponemic by Flocculation PS-LM-01 (Reagents RPR TEST KIT FORTRESS RK-1605-2) – Positive 1/4
-Test VDRL-Test nontreponemic by Flocculation PL-LM-01-Positive-1/4,
For the newborn results are the following:
TEST TPHA-haemagglutination Passive PS-LM-01 (Reagents-DIALAB 1753/7051971)-Positive 1 +
-Test RPR-Test nontreponemic by Flocculation PS-LM-01 (Reagents RPR TEST KIT FORTRESS RK-1605-2) – Negative ½, 1/4.1/8, 1/16
-Test VDRL-Test nontreponemic de flocculation PL-LM-01-negative-1/2, ¼, 1/8, 1/16.
Immediately after birth the newborn receives penicillin G treatment, 50,000 IU at 12 hours in the first 7 days and in the next 7 days 100 000 IU at 12 hours.
The patient’s history shows that she received treatment with Moldamin 2.4 million, as much as 1.2 million in each buttock, once a week for 3 week.
During the hospitalization, the patient was psychologically counseled
At discharge is directed to the dermatology cabinet for investigation, treatment and subsequent follow-up of the infection.
Audio recording – ro (10m02s) – Testimonial II