Abstract
A mother in Haiti seeks prenatal care at a local health clinic, accepts HIV voluntary counselling and testing, and, after testing HIV-positive, takes short-course antiretroviral therapy for prevention of mother-to-child transmission (PMTCT). Postpartum, she gives her baby antiretroviral therapy and provides artificial milk to protect against HIV transmission through breastfeeding. Is this a success story for PMTCT? No, the baby died at 3 weeks from congenital syphilis. Is this an isolated case? No, we have seen several babies in Haiti who have died of congenital syphilis after completion of PMTCT.
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