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The Journal of Bone and Joint Surgery 78:284-7 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Parrot Pseudoparalysis of the Upper Extremities. A Case Report*

MININDER S. KOCHER, M.D.{dagger} and MIGUELA CANIZA, M.D.{ddagger}, DURHAM, NORTH CAROLINA

Investigation performed at Duke University Medical Center, Durham


   Introduction
 
The incidence of congenital syphilis in the United States has been increasing in epidemic proportions since 1986 and is currently the highest since the introduction of penicillin for the treatment of syphilis in the early 1950's17,37. This increase represents both a rise in the actual number of patients who have congenital syphilis and a broadening of the definition of a case, by the Centers for Disease Control in 1988, to include syphilitic stillbirths and presumptive infections6,33,36. The incidence of congenital syphilis has paralleled the recent increase in the incidence of primary and secondary acquired syphilis in adults5,17,20-22,25,26.

Clinical manifestations of congenital syphilis are multisystemic, non-specific, and variable in presentation. Skeletal involvement is common, especially in symptomatic infants, and can occasionally be the presenting symptom11,27,29,31,34. This report details the case of an infant with congenital syphilis in whom the chief presenting symptoms were swelling and paralysis of . . . [Full Text of this Article]


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