TPPA titer as a new adaptation for early diagnosis of congenital syphilis: a retrospective analysis of observation over three years in Yunnan, China

Autor: Hong-Mei Wang, Yu-Ye Li, Li-Ping He, Ying-Kui Cao, Tian-Xiang Dong, Yi-Qun Kuang
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: European Journal of Medical Research, Vol 24, Iss 1, Pp 1-7 (2019)
Druh dokumentu: article
ISSN: 2047-783X
DOI: 10.1186/s40001-019-0367-8
Popis: Abstract Background Early diagnosis of congenital syphilis (CS) is difficult. This study aimed to determine the serological response discipline of syphilis passive antibody (SPA) in infants born to mothers with syphilis and provide the basis for the early diagnosis of CS. Methods Thirty-three infants born to mothers with syphilis and six infants with CS were recruited. The toluidine red unheated serum test (TRUST) and Treponema pallidum particle agglutination (TPPA) titers were followed up after birth. Results The results showed that serological response in the serum of infants with the TPPA titer decreased threefold at 3rd month, or the titer dropped to a minimum of 1:40 at 9th month was SPA. The TPPA titer of 6 CS cases remained positive after 3-year follow-up, and the titer did not decline after treatment and maintained longer. The infants with TRUST titer ≥ 1:4 at birth were prone to become syphilis serofast, while TRUST titer
Databáze: Directory of Open Access Journals