Ocular signs include bilateral interstitial keratitis, secondary cataracts, salt-and-pepper chorioretinitis, and chronic anterior uveitis. Hutchinson triad of congenital syphilis includes peg-shaped widely spaced incisors, interstitial keratitis, and deafness. Serologic testing is similar to acquired syphilis above. Standard treatment is with penicillin G, but dosing should be managed by a pediatrician or an infectious disease specialist.