{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T15:59:00Z","timestamp":1768319940118,"version":"3.49.0"},"reference-count":42,"publisher":"Springer Publishing Company","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatal Network"],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:p>\n                    Syphilis is primarily a sexually transmitted infection caused by the bacteria\n                    <jats:italic>Treponema pallidum<\/jats:italic>\n                    . Cases of syphilis have surged in the United States, with an estimated increase of 80% between 2018 and 2022. Likewise, cases of congenital syphilis (CS) have increased by 740% over the past decade. Congenital syphilis is the second leading cause of stillbirth worldwide and is associated with a mortality risk of nearly 40%. Among fetuses who acquire CS and survive, complications include growth restriction, hydrops fetalis, premature birth, permanent sensorineural hearing loss, facial and dental defects, ocular abnormalities, musculoskeletal deformities, and impaired neurodevelopment in childhood. Consistent educational outreach, increased access to prenatal care and testing, and treatment with benzathine penicillin G are essential to reduce the spread of syphilis in communities and protect the developing fetus. In this article, we present a case report of a preterm neonate with CS and a discussion of the state of the science of syphilis infection.\n                  <\/jats:p>","DOI":"10.1891\/nn-2025-0020","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T20:00:18Z","timestamp":1765396818000},"page":"376-388","source":"Crossref","is-referenced-by-count":0,"title":["Congenital Syphilis: A Threat to Neonatal Health"],"prefix":"10.1891","volume":"44","author":[{"given":"Miranda","family":"Holland","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Steger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Jnah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"issue":"2","key":"2026011302101161000_44.6.376.1","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1111\/1471-0528.16948","article-title":"Syphilis, from its poetic past to the modern resurgence","volume":"129","year":"2022","journal-title":"BJOG"},{"issue":"2","key":"2026011302101161000_44.6.376.2","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.clindermatol.2023.12.003","article-title":"Some lesser-known facts on the early history of syphilis in Europe","volume":"42","year":"2024","journal-title":"Clin Dermatol"},{"issue":"4","key":"2026011302101161000_44.6.376.3","doi-asserted-by":"crossref","first-page":"550","DOI":"10.5114\/ada.2021.108930","article-title":"Syphilis: then and now","volume":"38","year":"2021","journal-title":"Postepy Dermatol Alergol"},{"issue":"8","key":"2026011302101161000_44.6.376.4","doi-asserted-by":"crossref","first-page":"1310","DOI":"10.3390\/children10081310","article-title":"Congenital syphilis \u2013 an illustrative review","volume":"10","year":"2023","journal-title":"Children"},{"key":"2026011302101161000_44.6.376.5","unstructured":"Gregory ECW , Ely DM . Trends and characteristics in maternal syphilis rates during pregnancy: United States, 2016\u20132022. Centers for Disease Control and Prevention; 2024. https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db496.htm#:~:text=Data%20from%20the%20National%20Vital,to%20280.4%20per%20100%2C000%20births"},{"issue":"6","key":"2026011302101161000_44.6.376.6","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1111\/tmi.13881","article-title":"Maternal and perinatal risk factors associated with congenital syphilis","volume":"28","year":"2023","journal-title":"Tropical Med Int Health"},{"key":"2026011302101161000_44.6.376.7","doi-asserted-by":"crossref","unstructured":"Rawstron SA , Hawkes SJ . Treponema pallidum (Syphilis). In: Long SS , ed. Principles and Practice of Pediatric Infectious Diseases . 6 th ed. 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