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On November 2, 2017, at 19:50 PM, is presented to emergency room of the hospital of Obstetrics Gynecology Hospital of Ploieşti, a pregnant, housewife, 37 year old widow, from the rural area, which accuses painful uterine contractions. After the specialist consultation and anamnesis, the diagnosis of V G IV P pregnancy, 38/39 weeks, living fetus, cranial presentation, intact membranes is carried out. Labour. Pregnancy with dispensarization. Luetic infection.  Multiparity.

On November 2, 2017, at 21:50 PM, birth spontaneously a living fetus, male, weight-3900 grams, Apgar 9, with prophylactic episiotomy and placenta-controlled delivery.

During hospitalization is tested VDRL with rapid tests LABORQUIK ANTI SYPHILIS TEST-LBSY01. The result is positive, and TPHA is reactive. Subsequently, a blood sample is collected from both the mother and the newborn, which is sent to the Prahova Sanitary Directorate. The results are the following for the mother:

-TEST TPHA-haemagglutination Passive PS-LM-01 (Reagents-DIALAB 1753/7051971)-Positive 2 +

-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,

And for the newborn the results are as follows:

TEST TPHA-haemagglutination Passive PS-LM-01 (Reagents-DIALAB 1753/7051971)-Positive 2 +

-Test RPR-Test nontreponemic by Flocculation PS-LM-01 (Reagents RPR TEST KIT FORTRESS RK-1605-2) – Positive 1/2

-Test VDRL-Test nontreponemic by Flocculation PL-LM-01-Positive-1/4,

Immediately after birth the newborn receives penicillin treatment G, 50,000 IU at 12 hours in the first 7 days and in the next 7 days with 100 000 IU every 12 hours.

According to the patient’s history, she received treatment with Moldamin 2.4 million, 1.2 million in each buttock, once a week, 3 weeks. Although the patient followed this treatment, the husband, who died 4 years ago, has never performed treatment nor has been tested.

During the hospitalization, the patient was psychologycally counseled.

At discharge is directed to the dermatology cabinet for investigation, treatment and subsequent follow-up of the infection.

Audio recording – ro (21m39s) – Testimonial III

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