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Treponema pallidum

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PCR for Clinical Microbiology
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Abstract

Treponema pallidum subsp. pallidum (T. pallidum) is the agent responsible for venereal syphilis which may present with different clinical conditions at various stages of the infection [1]. T. pallidum subsp. pertenue, endemicum and carateum are closely related to T. pallidum and cause the diseases of yaws, endemic syphilis or betel and pinta respectively [1, 2]. Syphilitic lesions can appear in the primary, secondary and relapsing stages and in early congenital infection and treponemes are present in these lesion fluids [2]. Serological methods for the diagnosis of syphilis have gradually been improved over a period spanning many years but these are not usually positive in the early stages of infection when rapid diagnosis is important for prompt treatment to prevent transmission of the infection.

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References

  1. Hay PE, Clarke JR, Strugnell RA et al (1990) Use of the polymerase chain reaction to detect DNA sequences specific to pathogenic treponemes in cerebrospinal fluid. FEMS Microbiol Lett 68:233–238

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  2. Larsen SA, Steiner BM, Rudolph AH (1995) Laboratory diagnosis and interpretation of tests for syphilis. Clin Microbiol Rev 8:1–21

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  3. Leslie DE, Assato F, Karapanagiotidis T et al (2007) Development of a real-time PCR assay to detect Treponema pallidum in clinical specimens and assessment of the assay’s performance by comparison with serological testing. J Clin Microbiol 45:93–96

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  4. Norris SJ, Pope V, Johnson RE et al (2003) Treponema and other human host-associated spirochetes. In: Murray PR et al (ed) Manual of Clinical Microbiology, 8th edn. ASM Press, USA

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Acknowledgments

We would like to thank Natasha K. Ryan who provided valuable technical assistance and A. Levy for the statistical analysis.

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Correspondence to Gerald B. Harnett .

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Harnett, G.B., Cattell, J.A., Perris, T.M., Chidlow, G.R. (2010). Treponema pallidum. In: Schuller, M., Sloots, T., James, G., Halliday, C., Carter, I. (eds) PCR for Clinical Microbiology. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-9039-3_27

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