Patient: Description of condition (onset, main symptoms, hospital visited, etc.): The patient is female, 30 years old, she got married last year and had a child, just gave birth to a baby this month and the hospital told her that the mother has syphilis, but before she did not have any adverse reactions, now the child was born and everything is normal, but the eyes seem to have inflammation, the eyelids are very red, teary, and there are eye droppings. I am now worried about the child and wonder if it is dangerous to have a child who is not yet full term examined. The hospital informed the mother of the child to go for examination and treatment Urgent ~ I want to know if this unborn child will have syphilis, will it have any effect and what to do? I hope a kind doctor can guide me, thank you! The hospital of Ningbo University School of Medicine, Department of Dermatology, Shi Lei: Syphilis can be transmitted from fetus to baby. It is recommended that your child go to the hospital early to have his blood checked to clarify the infection, and that babies born to untreated mothers like you should be treated with injections regardless of whether or not antibodies to syphilis spirochetes are detected in the blood, and the number of injections should be decided based on the blood results. In addition, your child’s eyelids are very red and her eyes have a lot of fluid. It is recommended to do a gonococcal microscopy of the eye secretions to rule out neonatal gonorrhea. Patient: Thank you very much for your advice. Is neonatal gonorrhea caused by syphilis? Is it necessary to draw a lot of blood from an infant who is only a few days old? Will this affect the baby? The mother of the child is going to get the injection tomorrow, but the injection cannot cure her completely, right? How can she have syphilis when she looks so healthy? The woman seems to be very honest and unlikely to be infected. And her husband had no syphilis, how can I understand this? The dermatology department of Ningbo University Medical College Hospital, Shi Lei: Neonatal gonorrheal ophthalmia and syphilis are two different problems, both belong to sexually transmitted diseases. The mother’s disease can be transmitted from the fetus to the baby. It is better to have the child’s blood checked as soon as possible, as long as a little is drawn. Both the mother and the child need to be treated at the same time. The symptoms of syphilis are varied, and there are many clinically occult syphilis, where the patient does not show any symptoms and is only discovered by chance through blood tests. I wonder what the mother’s serum titer is? This is an indicator of the effectiveness of treatment and needs to be reviewed regularly. Patient: Thank you! Shi Lei, Department of Dermatology, Affiliated Hospital of Ningbo University Medical College: You are welcome! Early and regular treatment is the key.