Komplikasi letal pada bayi sangat prematur dengan sifilis kongenital
DOI:
https://doi.org/10.55175/cdk.v51i5.1093Kata Kunci:
Sifilis kongenital, komplikasi letal, bayi sangat prematurAbstrak
Pendahuluan: Sifilis kongenital merupakan infeksi multi-organ yang disebabkan oleh Treponema pallidum dan ditularkan dari ibu ke janin melalui sirkulasi uteroplasenta. Sifilis kongenital adalah salah satu kontributor utama kematian neonatus di Amerika Serikat. Kasus: Bayi laki-laki lahir secara sectio caesarea dari ibu G1P0 usia kehamilan 28 minggu dengan diagnosis ketuban pecah dini dan anhydramnion. Ibu pasien menderita sifilis laten yang tidak mendapat pengobatan. Berat badan bayi 1.400 gram, lingkar kepala 25 cm, dan panjang badan 35 cm. Nilai APGAR bayi 3-3-5 dengan asfiksia berat dan sindrom gawat napas. Ditemukan beberapa kelainan dan titer VDRL 1/128. Resusitasi jantung-paru segera dimulai dengan epinephrine 0,15 mg melalui pipa endotrakeal dilanjutkan dengan epinephrine 0,02 mg intravena setiap 3 menit. Bayi dinyatakan meninggal setelah 30 menit resusitasi. Simpulan: Sifilis kongenital dapat menyebabkan komplikasi yang mematikan karena sifilis laten ibu yang tidak diobati. Ibu harus menjalani skrining antenatal untuk mencegah penularan sifilis kongenital.
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