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prevalence, incidence, and correlates of syphilis seroreactivity in multiethnic san francisco neighborhoods.to examine the extent of infection with syphilis in an inner-city community, we determined the prevalence, incidence, and correlates of syphilis seroreactivity in a representative sample of unmarried whites, african americans, and hispanics living in san francisco during 1988 to 1989 and again 1 year later in 1989 to 1990. one thousand seven hundred seventy single men and women aged 20 to 44 were surveyed in a random household sample drawn from three neighborhoods of varying geographic and cultu ...19947804501
etiology of genital ulcers and prevalence of human immunodeficiency virus coinfection in 10 us cities. the genital ulcer disease surveillance group.to determine the etiology of genital ulcers and to assess the prevalence of human immunodeficiency virus (hiv) infection in ulcer patients in 10 us cities, ulcer and serum specimens were collected from approximately 50 ulcer patients at a sexually transmitted disease clinic in each city. ulcer specimens were tested using a multiplex polymerase chain reaction assay to detect haemophilus ducreyi, treponema pallidum, and herpes simplex virus (hsv); sera were tested for antibody to hiv. h. ducreyi w ...19989815237
outbreak of syphilis among men who have sex with men--southern california, 2000.syphilis is a sexually transmitted disease (std) caused by infection with the spirochete treponema pallidum, and like other genital ulcer diseases, syphilis enhances the transmission of human immunodeficiency virus (hiv). during the 1990s, syphilis occurred predominantly among heterosexual blacks in the south and in large cities. however, recent outbreaks of syphilis have occurred among men who have sex with men (msm). a large syphilis outbreak occurred among msm during january-july 2000 in sout ...200111393490
azithromycin treatment failures in syphilis infections--san francisco, california, 2002-2003.the san francisco department of public health (sfdph) is investigating several clinical failures in syphilis patients treated with the macrolide antibiotic azithromycin. this report describes the use of azithromycin for syphilis treatment, recent treatment failures in san francisco, and cdc recommendations for syphilis treatment. clinicians should exercise caution in using azithromycin for treating incubating syphilis or syphilis infection until the risk and mechanism of failure are better under ...200415017376
use of the serologic testing algorithm for recent hiv seroconversion (starhs) to identify recently acquired hiv infections in men with early syphilis in los angeles county.syphilis outbreaks among men who have sex with men (msm) in the united states, many of whom are hiv infected, have prompted increased concern for hiv transmission.200515793359
azithromycin-resistant syphilis infection: san francisco, california, 2000-2004.the incidence of syphilis has been increasing in the united states since reaching a nadir in 2000. several clinical trials have demonstrated that treatment with oral azithromycin may be useful for syphilis control. after reports of azithromycin treatment failures in san francisco, we investigated the clinical and epidemiologic characteristics of patients with syphilis due to azithromycin-resistant treponema pallidum infection.200616392078
hiv incidence among men diagnosed with early syphilis in atlanta, san francisco, and los angeles, 2004 to 2005.syphilis outbreaks among men who have sex with men (msm) in the united states have raised concerns about increased hiv transmission in this population. we sought to estimate hiv incidence among men diagnosed with primary or secondary (p&s) syphilis in sexually transmitted disease (std) clinics in atlanta, san francisco, and los angeles.200818340654
sexually transmitted diseases and risk behaviors among california farmworkers: results from a population-based survey.the prevalence of sexually transmitted diseases and associated risk behaviors among california farmworkers is not well described.200818643805
molecular epidemiology of syphilis--san francisco, 2004-2007.we describe the molecular epidemiology of syphilis in san francisco (sf) using treponema pallidum specimens obtained from patients examined at the sf municipal sexually transmitted diseases clinic during 2004-2007. of 69 specimens, 52 (75%) were subtype 14d9. single subtype predominance might reflect a closely linked sexual network in sf.201020601928
screening for syphilis with the treponemal immunoassay: analysis of discordant serology results and implications for clinical management.screening for syphilis with treponemal chemiluminescence immunoassays (cia) identifies patients with discordant serology who are not identified with traditional screening methods (eg, cia-positive, rapid plasma regain (rpr)-negative). we sought to describe the clinical characteristics and management of patients with discordant syphilis serology.201121930610
ocular syphilis - eight jurisdictions, united states, 2014-2015.ocular syphilis, a manifestation of treponema pallidum infection, can cause a variety of ocular signs and symptoms, including eye redness, blurry vision, and vision loss. although syphilis is nationally notifiable, ocular manifestations are not reportable to cdc. syphilis rates have increased in the united states since 2000. after ocular syphilis clusters were reported in early 2015, cdc issued a clinical advisory (1) in april 2015 and published a description of the cases in october 2015 (2). be ...201627811837
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