May 11: A 23 year old woman has her first prenatalexamination. Sheis 4 ½ months pregnant. HerVDRL results are negative.
June 6: The woman returns to her physician complaining of alabiallesion of a few days’ duration. A biopsy isnegative for malignancy,and herpes test results are negative.
July 1: The woman returns to her physician because the labiallesioncontinues to cause some discomfort.
Sept. 15: The baby’s father has multiple penile lesionsand ageneralized body rash.
Sept. 25: The woman delivers her baby. Her RPR is 1:32and theinfant’s is 1:128.
Oct. 1: The woman takes her infant to a pediatrician becausethebaby is lethargic. She is told the infant is healthy andnot toworry.
Oct. 2: The baby’s father has a persistent body rashand plantar andpalmar rashes.
Nov. 8: The infant becomes acutely ill with and ishospitalized. Theadmitting physician finds signs ofosteochondritis.
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