In fact about 60% of liveborns are asymptomatic at birth [20, 21]. CS has been traditionally classified in early congenital syphilis (ECS) and late congenital syphilis (LCS). In ECS signs appear in the first 2 years of life while in LCS signs appear over the first 2 decades. Clinical manifestations of ECS are the result of active infection and inflammation while clinical manifestations of LCS are malformation or stigmata that represent the scars induced by initial lesions of ECS or can be the result of chronic inflammation [2]. After fetal infection occurs, any organ system can be affected because of the widespread spirochetal dissemination.