Although the recent article by Moyer et al1 contains interesting, informative, and thought-provoking material, we would like to make a few remarks about some issues that were not discussed.
Why is it of no importance to accurately diagnose patients with evidence of congenital syphilis? This lack of intellectual and scientific curiosity is unsettling. Just because it is not always easy to make the diagnosis of congenital syphilis does not mean that we should not make our best attempt to do so. If we could be more accurate in our diagnoses in this area, we could treat only the infants who were infected, and would therefore save money.
Rawstron SA, Bromberg K. Congenital Syphilis in Newborn Infants. Arch Pediatr Adolesc Med. 1998;152(10):1041-1042. doi: