system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 5-year-old girl is brought to the clinic with a 3-month history of worsening vision and behavioral problems in school. Her mother received no prenatal care and,repos that the girl was delivered without complications at home. As an infant, she had a "walike" perioral maculopapular rash and three or four recurrent right-sided ear infections. Physical examination reveals that the girl is in the 30th percentile for weight and the 35th percentile for height. Additional observations include findings that are notable for nummular keratitis, prominent notching of her upper two incisors and molars, and outward bowing of the tibia bilaterally. What is the most likely diagnosis?
assistant
The correct answer is  Congenital Syphilis - Caused by Treponema pallidum. Congenital syphilis is a cause of hydrops fetalis, or stillbih due to fluid accumulation in the fetus. If the newborn survives, it can develop various abnormalities. Classic facial anomalies - Hutchinson's incisors Mulberry molars, Saddle nose Frontal bossing Sho maxilla Hutchinson's triad : Deafness(VIII nerve damage) Interstitial keratitis Hutchinson's teeth