A Rare Case of Congenital Syphilis Presented with Pneumonia alba

Case DesCriptionThis term male neonate was born to a 32-year-old P3L2D1 mother.The first pregnancy was uneventful, with no comorbidities and delivered a term male neonate with a birth weight of 3000 gm; the child is 7 years old now and healthy.The second pregnancy was uneventful and delivered a term male neonate with a birth weight of 2500 gm; the infant died at 3 months of age with jaundice, but further evaluation of the infant was not done.During the first and second pregnancies, venereal disease research laboratory (VDRL)/rapid plasma regain (RPR) was not reactive in the mother.During the third pregnancy (the current pregnancy) mother conceived spontaneously, and regular antenatal follow-up was done at a government hospital.VDRL/RPR was nonreactive during the first trimester.The antenatal period was uneventful, with no comorbidities.There is no history of itching or lesions over the vulval/genital region or history suggestive of syphilis in the mother and the father during the antenatal period or any time prior to this conception.At 37 weeks of gestation