EPIDEMIOLOGICAL IMPORTANCE OF EARLY DIAGNOSIS IN THE MANAGEMENT OF GESTATIONAL AND CONGENITAL SYPHILIS, TREATMENT FAILURE SECONDARY TO DELAY IN DIAGNOSIS

Syphilis, legendary, has forms of asymptomatic and symptomatic; their presentations are diverse and depend on the location and extent of injuries. When it occurs in pregnant women it is classified as gestational syphilis, with high impact on public health and serious consequences, such as abortion, stillbirth or premature birth with diseased product. The current recommendation of treatment in pregnant women is penicillin G benzathine, 2.4 million units in a single dose or up to 7.2 million units in three doses at intervals of one week. The evidence so far in pregnant women with latent syphilis neurosyphilis or wrongly, treated with penicillin, has shown therapeutic failure no matter what scheme are prescribed, due to multiple events both technical access. In the review of the clinical case of a 29-year-old, negative for HIV in her first gestation and abandonment of antenatal care, with 29 week pregnancy at the time of diagnosis, gestational syphilis; evidenced therapeutic failure with penicillin G benzathine, secondary to lack of early prenatal with delay in diagnosis. It was identified in the post-partum, with levels of serology reagents and product with congenital syphilis.