Premature baby of 34 wks was delivered. Baby developed bullous lesion on the skin and X-ray shows periostitis. What should be the fleet investigation ?
VDRL for mother & baby
ELISA for HIV
PCR for TB
Hepatitis surface antigen for mother
Ans. is 'a' i.e., VDRL for mother and Baby Bullous lesion and periostitis suggest the diagnosis of congenital syphilis. o The only option related to syphilis is option 'a'. o Following evaluations are recommended : - 1. Physical examiation 2. A quantitative nontreponemal test for syphilis (VDRL). 3. CSF for cell count, protein & VDRL. 4. Long bone radiograph 5. Antitreponemal IgM.