There is an increase in the number of cases of syphilis in pregnancy in the United States. @entity5617 may occur in syphilis from @entity281 . A case is presented in which an @entity697 occurred. The @entity1 presented at 31 weeks' gestation, with a decrease in fetal movements and non-reactive cardiotocography. Ultrasound and Doppler analysis of the fetal heart, cerebral and umbilical arteries, aorta and umbilical vein led to the suspicion of @entity712 . An amniocentesis yielded a white cell count of 1122 white blood cells, with 91% polymorphs, but the Gram stain was negative. The fetus developed a persistent @entity1168 and was delivered. The diagnosis of acute severe syphilitic @entity5870 was suspected from histological sections of the cord. Diagnosis was established from maternal and fetal blood. Modern ultrasound techniques, including imaging, Doppler and cardiotocography, can lead to the analysis of the pathophysiology of disease states. An acute @entity281 should be suspected when this constellation of findings is found.

The pathophysiology of acute syphilitic XXXX .

@entity1 :: ('9606', 'Species') :: ['patient'] @entity712 :: ('MESH:D006333', 'Disease') :: ['acute cardiac failure'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute fetal infection'] @entity1168 :: ('MESH:D001919', 'Disease') :: ['bradycardia'] @entity5870 :: ('MESH:D002821', 'Disease') :: ['funisitis'] @entity281 :: ('MESH:D007239', 'Disease') :: ['syphilitic infection', 'acute or chronic infections'] @entity5617 :: ('MESH:D005313', 'Disease') :: ['Fetal death']
@entity5870 :: (MESH:D002821,Disease) :: ['funisitis']
