A case of congenital syphilis during the colonial period in Mexico City

Josefina Mansilla Lory · Carmen Pijoan

28 citations0/0 files storedAmerican Journal of Physical Anthropology

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Paleopathology and ancient diseases Forensic Anthropology and Bioarchaeology Studies Syphilis Diagnosis and Treatment

Abstract

Congenital syphilis has been diagnosed very seldom in ancient populations. The case that we examined comes from San Jeronimo's Church (17th and 18th centuries AD; Mexico City). Coffin 43 contained an incomplete skeleton of an approximately 2-year-old infant. The pathological lesions of this skeleton include bilateral osteochondritis, diaphyseal osteomyelitis, and osteitis and/or periostitis on the long bones. The radiographic appearance depicts symmetrical osteomyelitic foci, particularly at the proximal extremity of both tibiae (Wimberger's sign). The skull exhibits hydrocephaly and periosteal changes on the vault, and the unerupted upper incisors evince dental hypoplasia and other pathological alterations reminiscent of Hutchinson's incisors. All these features strongly suggest a case of early congenital syphilis.

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References

2003Identification of Pathological Conditions in Human Skeletal Remains 1999Human Skeletal Remains: Excavation, Analysis, Interpretation 1989Age Markers in the Human Skeleton 1988The Origin and Antiquity of Syphilis: Paleopathological Diagnosis and Interpretation [and Comments and Reply]1993Disease and Demography in the Americas 1962Growth of the long bones of infants and young children at Indian Knoll 1992Congenital syphilis in the past: Slaves at Newton Plantation, Barbados, West Indies 1993Diaphyseal growth in a nineteenth century skeletal sample of subadults from St Thomas' church, Belleville, Ontario

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