{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T17:04:05Z","timestamp":1784394245021,"version":"3.55.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T00:00:00Z","timestamp":1734048000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Dev Pathol"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>\n                    Syphilis is a preventable and treatable disease, which continues to strike low-income countries and vulnerable populations in high-income countries. It is caused by\n                    <jats:italic>T pallidum<\/jats:italic>\n                    , a spirochete capable of traversing the placental barrier, with a high rate of fetal and placental infection. Congenital syphilis (CoS) has poor prognosis if left untreated. Autopsy and placental evaluation are important tools to diagnose this disease in the obstetric scenario, to reveal the correct cause of demise and prevent complications in future pregnancies. We describe the histologic findings of eleven feto-placental examinations of non-treated CoS with fetal hydrops and stillbirth. Fetal findings are variable, with hydrops, X-ray long bone metaphyseal bands and hepatic lesions as the most consistent autopsy findings. The combination of chronic and acute villitis\/intervillitis is a common placental feature in CoS, and the presence of mixed inflammatory populations is a key to suspect treponemal infection. Mothers from vulnerable populations and with poor obstetric care also deserve increased efforts to rule out CoS as cause of death. This constellation of findings must lead to further testing with direct methods (PCR or tissue immunohistochemistry for\n                    <jats:italic>T pallidum<\/jats:italic>\n                    ).\n                  <\/jats:p>","DOI":"10.1177\/10935266241304844","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T06:08:28Z","timestamp":1734070108000},"page":"104-110","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Stillbirth and Congenital Syphilis: Autopsy and Placental Findings of 11 Cases and Review of the Literature"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5417-4128","authenticated-orcid":false,"given":"Raquel","family":"Ilgenfritz","sequence":"first","affiliation":[{"name":"Pathology Department, Unidade Local de Sa\u00fade Almada-Seixal, Almada, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2232-0286","authenticated-orcid":false,"given":"Ana Catarina","family":"Lai","sequence":"additional","affiliation":[{"name":"Pathology Department, Unidade Local de Sa\u00fade de Coimbra, Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6764-9563","authenticated-orcid":false,"given":"Filipa Galante","family":"Pereira","sequence":"additional","affiliation":[{"name":"Pathology Department, ULS Amadora\/Sintra, Hospital Prof. Doutor Fernando Fonseca EPE, Amadora, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7658-7459","authenticated-orcid":false,"given":"Ana Costa","family":"Braga","sequence":"additional","affiliation":[{"name":"Pathology Department, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o\u2014Unidade Local de Sa\u00fade de S\u00e3o Jo\u00e3o; Pathology Department, Faculty of Medicine of the University of Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1265-949X","authenticated-orcid":false,"given":"Carlos Miguel","family":"Pontinha","sequence":"additional","affiliation":[{"name":"Pathology Department, Unidade Local de Sa\u00fade S\u00e3o Jos\u00e9, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Patrier","sequence":"additional","affiliation":[{"name":"Pathology Department, Rouen University Hospital, Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization. WHO guideline on syphilis screening and treatment for pregnant women. World Health Organization; 2017. Accessed September 1 2024. License: CC BY-NC-SA 3.0 IGO. https:\/\/www.who.int\/publications\/i\/item\/9789241550093"},{"key":"e_1_3_3_3_2","unstructured":"European Centre for Disease Prevention and Control. Congenital syphilis. ECDC. Annual Epidemiological Report for 2022. 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