The Laboratory Diagnosis of Syphilis

Syphilis has several clinical manifestations, making laboratory testing a very important aspect of diagnosis. In North America, many unsuspected cases are discovered by laboratory testing. The etiological agent, Treponema pallidum, cannot be cultured, and there is no single optimal alternative test....

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Main Author: Sam Ratnam
Format: Article
Language:English
Published: Wiley 2005-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2005/597580
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author Sam Ratnam
author_facet Sam Ratnam
author_sort Sam Ratnam
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description Syphilis has several clinical manifestations, making laboratory testing a very important aspect of diagnosis. In North America, many unsuspected cases are discovered by laboratory testing. The etiological agent, Treponema pallidum, cannot be cultured, and there is no single optimal alternative test. Serological testing is the most frequently used approach in the laboratory diagnosis of syphilis. The present paper discusses the various serological and alternative tests currently available along with their limitations, and relates their results to the likely corresponding clinical stage of the disease. The need to use multiple tests is discussed, and the importance of quality control is noted. The complexity of syphilis serology means that the services of reference laboratories and clinical experts are often needed.
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spelling doaj-art-9cf105d3570445da87d59fe386c6ee3f2025-02-03T05:52:51ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322005-01-01161455110.1155/2005/597580The Laboratory Diagnosis of SyphilisSam RatnamSyphilis has several clinical manifestations, making laboratory testing a very important aspect of diagnosis. In North America, many unsuspected cases are discovered by laboratory testing. The etiological agent, Treponema pallidum, cannot be cultured, and there is no single optimal alternative test. Serological testing is the most frequently used approach in the laboratory diagnosis of syphilis. The present paper discusses the various serological and alternative tests currently available along with their limitations, and relates their results to the likely corresponding clinical stage of the disease. The need to use multiple tests is discussed, and the importance of quality control is noted. The complexity of syphilis serology means that the services of reference laboratories and clinical experts are often needed.http://dx.doi.org/10.1155/2005/597580
spellingShingle Sam Ratnam
The Laboratory Diagnosis of Syphilis
Canadian Journal of Infectious Diseases and Medical Microbiology
title The Laboratory Diagnosis of Syphilis
title_full The Laboratory Diagnosis of Syphilis
title_fullStr The Laboratory Diagnosis of Syphilis
title_full_unstemmed The Laboratory Diagnosis of Syphilis
title_short The Laboratory Diagnosis of Syphilis
title_sort laboratory diagnosis of syphilis
url http://dx.doi.org/10.1155/2005/597580
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