Journal of the Bahrain Medical Society

Year 2022, Volume 34, Issue 4, Pages 49-53

http://doi.org/10.26715/jbms.34_4_8

Case Report

A Case of Latent Syphilis in Pregnancy Masked by Beçhet’s Disease

Aseel Ahmed Hussain1*, Anga Adnan Badawi2, Nayla Jamal Bushaqer3

Author Affiliation

1General physician, Doctor employed for Silah as part of the national COVID-19 team

2Consultant Obstetrics / Gynaecologist at BDF hospital 3Consultant Obstetrics / Gynaecologist at BDF hospital

*Corresponding author: Dr. Aseel Ahmed Hussain; General physician, Doctor employed for Silah as part of the national COVID-19 team; Tel. No. (+973) 39616454; Email: aseelahmedhussain@gmail.com 

Received date: September 27, 2021; Accepted date: April 14, 2022; Published date: December 31, 2022

For tables and figures, please refer to PDF.


Abstract

Syphilis in pregnancy is a worrisome topic due to its fetal consequences. The diagnosis and management of such a case might be intriguing when overlapped with Behçet’s disease, an inflammatory disease involving multiple organ systems. This case presents a 35-year-old pregnant female, a known case of Behçet’s disease and hypothyroidism, presenting at 33 weeks to the emergency department at Bahrain Defense Force (BDF) hospital with vaginal leaking and a solitary oral ulcer. As per the guidelines of the ministry of health, she underwent perinatal screening and was found to be positive for the venereal disease research laboratory (VDRL) test and was diagnosed with latent syphilis. The diagnosis of latent syphilis in a known case of Behçet’s disease presenting with a solitary oral ulcer is unpredictable. The importance of perinatal screening is emphasized in this case report.

Keywords: Latent Syphilis, Behçet’s disease, Pregnancy