Document Detail


Diagnosis of congenital syphilis by combining Treponema pallidum-specific IgM detection with immunofluorescent antigen detection for T. pallidum.
MedLine Citation:
PMID:  8515119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Most infants at risk for congenital syphilis can be identified easily by a positive maternal serologic test for syphilis. However, a diagnosis of congenital syphilis can be difficult to make in an individual infant. Seven infants with delayed-onset congenital syphilis and 101 newborns at risk for congenital syphilis were evaluated for characteristic physical findings and laboratory-detectable abnormalities of congenital syphilis. By using a combination of Western blot for T. pallidum-specific IgM detection and immunofluorescent antigen detection for the identification of T. pallidum, a diagnosis of congenital syphilis was made in all 7 infants with delayed-onset congenital syphilis and 24 of the 101 newborns at risk for congenital syphilis. However, T. pallidum-specific IgM was negative in 6 of the 24 newborns with congenital syphilis. T. pallidum-specific IgM detection alone is inadequate for the diagnosis of congenital syphilis.
Authors:
K Bromberg; S Rawstron; G Tannis
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of infectious diseases     Volume:  168     ISSN:  0022-1899     ISO Abbreviation:  J. Infect. Dis.     Publication Date:  1993 Jul 
Date Detail:
Created Date:  1993-07-20     Completed Date:  1993-07-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0413675     Medline TA:  J Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  238-42     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Children's Medical Center of Brooklyn, New York 11203.
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MeSH Terms
Descriptor/Qualifier:
Antibodies, Bacterial / analysis
Antigens, Bacterial / analysis
Blotting, Western
Fluorescent Antibody Technique
Humans
Immunoglobulin M / analysis
Infant, Newborn
Syphilis Serodiagnosis / methods
Syphilis, Congenital / diagnosis*
Treponema pallidum / immunology*
Chemical
Reg. No./Substance:
0/Antibodies, Bacterial; 0/Antigens, Bacterial; 0/Immunoglobulin M

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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