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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1997-11-21
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pubmed:abstractText |
Injection drug users were assessed serologically for human immunodeficiency virus infection and syphilis every 6 months. Treatment histories were reviewed for any high-titer biologic false-positive (BFP) reactors, that is, persons with rapid plasma reagin (RPR) titers > or = 1:4 and negative results for fluorescent treponemal antibody absorption (FTA-ABS) tests. Selected sera were analyzed further by immunoblotting for the presence of antibodies reactive with specific Treponema pallidum antigens. Of 112 BFP reactors, 35 (31%) had at least one RPR test reactive at a dilution >1:8 while the FTA-ABS test remained nonreactive. Five reactors (4.5%) converted from nonreactive to reactive by FTA-ABS test; 4 (3.6%) were reactive by FTA-ABS tests but later became nonreactive. Antibodies to T. pallidum membrane antigens were detected in some samples that were persistently nonreactive by FTA-ABS test. Serologic patterns over time, along with very high-titer BFP reactions and reactivity with T. pallidum-specific antigens, suggest that some BFP reactions may represent FTA-negative syphilis.
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pubmed:grant | |
pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0022-1899
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
176
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1397-400
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:9359747-Antibodies, Bacterial,
pubmed-meshheading:9359747-Diagnostic Errors,
pubmed-meshheading:9359747-Female,
pubmed-meshheading:9359747-Fluorescence,
pubmed-meshheading:9359747-HIV Infections,
pubmed-meshheading:9359747-Humans,
pubmed-meshheading:9359747-Immunoblotting,
pubmed-meshheading:9359747-Longitudinal Studies,
pubmed-meshheading:9359747-Male,
pubmed-meshheading:9359747-Substance Abuse, Intravenous,
pubmed-meshheading:9359747-Syphilis,
pubmed-meshheading:9359747-Treponema pallidum
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pubmed:year |
1997
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pubmed:articleTitle |
Syphilis serology in human immunodeficiency virus infection: evidence for false-negative fluorescent treponemal testing.
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pubmed:affiliation |
Department of Medicine, Johns Hopkins University School of Medicine and School of Hygiene and Public Health, Baltimore, Maryland 21205, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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