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Seyed Mohammad Hashemi-Shahri, Batool Sharifi-Mood, Hamid-Reza Kouhpayeh, Javad Moazen, Mohsen Farrokhian, Masoud Salehi
BACKGROUND: Studies show that nearly 40 million people are living with human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) around the world and since the beginning of the epidemic, about 35 million have died from AIDS. Heterosexual intercourse is the most common route for transmission of HIV infection (85%). People with a sexually transmitted infection (STI), such as syphilis, genital herpes, chancroid, or bacterial vaginosis, are more likely to obtain HIV infection during sex...
September 2016: International Journal of High Risk Behaviors & Addiction
Mónica Franco, Vanda Nogueira
PURPOSE: We report on a case of unilateral acute syphilitic posterior placoid chorioretinitis (ASPPC) with spontaneous resolution of the lesions, and discuss the role of an altered versus adequate immune response as the major pathogenic factor. METHODS: We describe a case of acute loss of visual acuity (VA) in the left eye (LE) in a 55-year-old healthy man. RESULTS: The patient presented with VA of 20/20 in the right eye (RE) and hand movements in the LE...
2016: GMS Ophthalmology Cases
Roberta Duarte Bezerra Pinto, Thiago Rubim Bellott Batista Nascimento, Jhéssica Pacheco Bicalho de Andrade, Fernanda Policarpo, Rogério Ribeiro Estrella, Enoi Guedes Vilar
Syphilis is an infectious disease with mucocutaneous lesions that are characteristic of their stage (primary, secondary, or tertiary). These are not always typical and may have other morphologies and unusual symptoms, making diagnosis difficult. The report herein is of a healthy woman with vesicular lesions associated with intense itching.  The diagnosis of secondary syphilis was confirmed with VDRL 1/512 and FTA Abs positive.  Histopathology showed spongiosis in the epidermis and infiltrated lymphocytes and plasma cell in the dermis...
June 15, 2016: Dermatology Online Journal
Borae G Park, Jihoon G Yoon, John Hoon Rim, Anna Lee, Hyon-Suk Kim
Six different Treponema (TP)-specific immunoassays were compared to the fluorescent treponemal antibody absorption (FTA-ABS) test. A total of 615 samples were tested. The overall percent agreement, analytical sensitivity, and analytical specificity of each assay compared to the FTA-ABS test were as follows: Architect Syphilis TP, 99.2%, 96.8%, and 100%; Cobas Syphilis, 99.8%, 99.4%, and 100%; ADVIA Centaur Syphilis, 99.8%, 99.4%, and 100%; HISCL Anti-TP assay kit, 99.7%, 98.7%, and 100%; Immunoticles Auto3 TP, 99...
January 2016: Journal of Clinical Microbiology
Atsushi Ito, Noriyasu Niizeki, Hitomi Kurose, Takatoshi Yonezawa, Rie Sasaki, Mineji Tachibana, Yutaka Tomoda, Shuichi Kino, Satoshi Fujii
Serological diagnosis of syphilis can be made by using the serological test for syphilis (STS) method for detecting a lipid antibody and Treponema pallidum (TP) method for detecting the anti-TP-specific antibody. In STS and TP methods, the basis using latex agglutination reaction has been used in many facilities. However, in latex agglutination, false-positive results due to non-specific reaction have sometimes been obtained in reactions of a routine laboratory test reagent detecting the anti-TP antibody used in our medical laboratory...
January 2015: Rinsho Byori. the Japanese Journal of Clinical Pathology
Sun Young Lee, Vincent Cheng, Damien Rodger, Narsing Rao
BACKGROUND: Ocular syphilis is reemerging as an important cause of uveitis in the new era of common co-infection with HIV. This study will reveal the clinical and laboratory characteristics in the group of individuals co-infected with ocular syphilis and HIV compared with HIV-negative individuals. In this retrospective observational case series, medical records of patients diagnosed with ocular syphilis with serologic support from 2008 to 2014 were reviewed. Ocular and systemic manifestation and laboratory profiles were reviewed...
December 2015: Journal of Ophthalmic Inflammation and Infection
Christy Elizabeth Benson, Mohamed Kamel Soliman, Alexander Knezevic, Daisy Ding Xu, Quan Dong Nguyen, Diana V Do
BACKGROUND: Syphilis is a multisystem bacterial infection caused by Treponema pallidum. The incidence of infection in the United States has risen by more than 75% since the year 2000, when it was at a low of 2.1 per 100,000 people. Ocular involvement may occur in any stage of infection and may present in a variety of ways, with posterior uveitis being the most common manifestation. We report a case of ocular syphilis infection with an unusual presentation of bilateral non-granulomatous panuveitis with papillitis and unilateral focal chorioretinitis...
2015: Journal of Ophthalmic Inflammation and Infection
Melita Vukšić Polić, Vera Plužarić, Igor Kuric
No abstract text is available yet for this article.
2015: Acta Dermatovenerologica Croatica: ADC
Paul N Levett, Kevin Fonseca, Raymond Sw Tsang, Kamran Kadkhoda, Bouchra Serhir, Sandra M Radons, Muhammad Morshed
Syphilis, caused by the bacterium Treponema pallidum subsp. pallidum, is an infection recognized since antiquity. It was first reported at the end of the 15th century in Europe. Infections may be sexually transmitted as well as spread from an infected mother to her fetus or through blood transfusions. The laboratory diagnosis of syphilis infection is complex. Because this organism cannot be cultured, serology is used as the principal diagnostic method. Some of the issues related to serological diagnoses are that antibodies take time to appear after infection, and serology screening tests require several secondary confirmatory tests that can produce complex results needing interpretation by experts in the field...
January 2015: Canadian Journal of Infectious Diseases & Medical Microbiology
Tom Wong, Kevin Fonseca, Max A Chernesky, Richard Garceau, Paul N Levett, Bouchra Serhir
Neurosyphilis refers to infection of the central nervous system by Treponema pallidum, which may occur at any stage. Neurosyphilis has been categorized in many ways including early and late, asymptomatic versus symptomatic and infectious versus non-infectious. Late neurosyphilis primarily affects the central nervous system parenchyma, and occurs beyond early latent syphilis, years to decades after the initial infection. Associated clinical syndromes include general paresis, tabes dorsalis, vision loss, hearing loss and psychiatric manifestations...
January 2015: Canadian Journal of Infectious Diseases & Medical Microbiology
Renan Albert Mendonça Rodrigues, Heloisa Moraes do Nascimento, Cristina Muccioli
Here we report the occurrence of pale yellowish perivascular preretinal dots in 12 patients with ocular syphilis. A case series of these patients was examined between March and October 2012 at the Uveitis Sector of Universidade Federal de São Paulo. After diagnostic confirmation of syphilis, fundus photographs and optical coherence tomography (OCT) were performed to verify the localization of the dots, and patients were treated with IV crystalline penicillin for 14 days. The study comprised 11 men (91.6%), 19 eyes, median presentation age of 38...
October 2014: Arquivos Brasileiros de Oftalmologia
Jong-Han Lee, Chae Seung Lim, Min-Geol Lee, Hyon-Suk Kim
BACKGROUND: In addition to conventional tests, several methods for detection of treponema-specific antibodies in clinical settings have been recently introduced. We aim to comparatively evaluate a rapid immunochromatographic test (ICT) for Treponema pallidum specific antibody (SD Bioline Syphilis 3.0) and the T. pallidum particle agglutination (TPPA) assay. METHODS: In all, 132 serum samples from 78 syphilis patients and 54 syphilis-negative controls were analyzed...
September 2015: Journal of Clinical Laboratory Analysis
Masaki Koh, Daina Kashiwazaki, Kazumasa Yamatani, Satoshi Kuroda
It is well known that neurosyphilis is a cause of stroke and its main subtype is ischemic stroke. In this report, we present a rare case with intracranial hemorrhage in left frontal lobe and subarachnoid hemorrhage due to neurosyphilis. A 56-year-old man developed conscious disturbance, right hemiparesis, and motor aphasia, and was admitted to our hospital. Rapid plasma reagin(RPR)and fluorescent treponemal antibody-absorption(FTA-ABS)serology was positive in blood and cerebrospinal fluid. MR angiography and 3D-CT angiography demonstrated no vascular abnormalities...
August 2014: No Shinkei Geka. Neurological Surgery
S C Ferreira, C de Almeida-Neto, A S Nishiya, C Di-Lorenzo-Oliveira, J E Ferreira, C S Alencar, J E Levi, N A Salles, A Mendrone-Junior, E C Sabino
The presence of Treponema pallidum DNA was assessed by real-time PCR in samples of blood donors with reactive serologic tests for syphilis. Treponema pallidum DNA was detected in two (1·02%) of 197 samples of VDRL>8, EIA+ and FTA-ABS+ donors, and in no sample from 80 VDRL−, EIA+ and FTA-ABS+ donors. Donors VDRL−, EIA+ and FTA-ABS+ lack demonstrable T. pallidum DNA in their blood and are unlike to transmit syphilis. Donors VDRL>8, EIA+ and FTA-ABS+ carry the risk of syphilis infectivity even in concomitance to antibodies detection...
May 2014: Vox Sanguinis
Leibovici Vera, Donchin Milka, Strauss-Liviatan Nurith, Shinar Eilat
Data of 1,290,222 volunteer blood donors, in a 5-year period, was analyzed for prevalence and incidence of syphilis. Subsequent testing of donations positive in Treponema pallidum hemagglutination assay included Venereal Disease Research Laboratory and fluorescent Treponemal antibody absorption. Stepwise logistic regression model was used to identify positive syphilis serology. Prevalence of syphilis was 47 : 100,000, similar in men and women and increased significantly with age (P < 0.001). Native Israelis had the lowest prevalence rate of syphilis (21 : 100,000), while a significantly higher prevalence was found among immigrants from Africa, Eastern Europe, and South America (odds ratios of 19...
2014: Journal of Blood Transfusion
S C Ferreira, C de Almeida-Neto, A S Nishiya, C D L Oliveira, J E Ferreira, C S Alencar, J E Levi, N A Salles, A Mendrone, E C Sabino
OBJECTIVE: To identify the demographic characteristics, risk factors and motivations for donating among blood donors with reactive serologic tests for syphilis. BACKGROUND: Post-donation interviews with syphilis seropositive blood donors improve recruitment and screening strategies. METHODS: This case-control study compares 75 Venereal Disease Research Laboratory (VDRL) > 8, EIA+ (enzyme immunoassay) and FTA-ABS+ (fluorescent treponemal antibody); 80 VDRL-, EIA+ and FTA-ABS+; and 34 VDRL- and EIA- donors between 2004 and 2009...
June 2014: Transfusion Medicine
Arshad Hussain Laghari, Viqar Sultana, Akhtar Hussain Samoo, Pirbhomal Makhija, Jehan Ara, Hira
OBJECTIVE: A Cross Sectional population based serological studies was conducted to determine the prevalence and associated risk factors for syphilis women with recurrent miscarriages. METHODS: Patient's 5ml whole blood was collected through venepuncture technique. Data were collected by all women answered a questionnaire and by investigating blood sample VDRL test and FTA-ABS test. The study was conducted in a confidential manner and numbers were used to identify the participant...
March 2014: Pakistan Journal of Medical Sciences Quarterly
Beau Gratzer, Daniel Pohl, Anna L Hotton
BACKGROUND: Reverse sequence screening for syphilis, in which an automatable treponemal assay (enzyme immunoassay [EIA]/chemiluminescence assay [CIA]) is performed first and followed by a nontreponemal test for reactive specimens, has been used increasingly in the United States. The EIA is objective, efficient, and believed to be more sensitive than the rapid plasma reagin (RPR) because treponemal antibodies appear before nontreponemal antibodies. We sought to compare the sensitivity of a commonly used EIA, the Trep-Sure EIA (TS-EIA), to the RPR in cases of suspected primary syphilis infection in our clinic...
May 2014: Sexually Transmitted Diseases
Hua-Cheng Wang, Cha Chen, Li-Na Wang, Yi-Fei Long, Wei-Zheng Zhang, You-Qiang Li, Qian Xiao, Hui Yuan
The rapid increase of syphilis underscores a tremendous need to carefully evaluate many new serological tests for syphilis and choose efficient and economical strategies for syphilis screening, especially in the case of primary infection with low antibody titer. Between 2011 and 2012, 73 patients' sera samples were included in this retrospective study. They were either TRUST or TPPA reactive, either LA (latex agglutination) based auto3 TP or CLIA (chemiluminescence assay) based Architect Syphilis TP assay reactive...
2013: Clinical Laboratory
Yung Chan, Kwok-Hung Yeung, Hing-Fung Ho, King-Man Ho, Edman Tin-Keung Lam, Wai-Lin Leung, Kai-Man Kam
Neurosyphilis is a difficult clinical stage of syphilis as there is no ideal method for diagnosis and workup requires lumbar puncture which may sometimes provide ambiguous results especially in HIV co-infected patients. Enzyme immunoassay is a widely used screening test for syphilis in serum, but its test performance was not well studied in cerebrospinal fluid. To examine the diagnostic performance of cerebrospinal fluid-enzyme immunoassay (CSF-EIA) in neurosyphilis, we conducted a prospective study for two years...
July 2014: International Journal of STD & AIDS
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