Pitfalls in the Serologic Diagnosis of Maternal Syphilis: A Case Series

Pregnancy is associated with false-positive treponemal and nontreponemal screening test results. We present five pregnant women who had reactive treponemal screening and nontreponemal tests but nonreactive Treponema pallidum-Particle Agglutination test. Reliance on treponemal screening tests may result in misdiagnosis and unnecessary treatment unless a specific treponemal test is performed.

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Publication Details

Journal
Sexually Transmitted Diseases
Published
2025-10-29
DOI
https://doi.org/10.1097/olq.0000000000002261
Primary Topic
Syphilis Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Pitfalls in the Serologic Diagnosis of Maternal Syphilis: A Case Series

Traci Pifer, Pablo J. Sánchez, Tanisha R. Pettus, Sebastián Martínez et al.
Sexually Transmitted Diseases
Syphilis Diagnosis and Treatment
article

Pitfalls in the Serologic Diagnosis of Maternal Syphilis: A Case Series

Traci Pifer, Pablo J. Sánchez, Tanisha R. Pettus, Sebastián Martínez, Charles A. Miller, B. Jones, S. Chand, Regent Epperson
article en

Abstract

Pregnancy is associated with false-positive treponemal and nontreponemal screening test results. We present five pregnant women who had reactive treponemal screening and nontreponemal tests but nonreactive Treponema pallidum-Particle Agglutination test. Reliance on treponemal screening tests may result in misdiagnosis and unnecessary treatment unless a specific treponemal test is performed.

Sexually Transmitted Diseases
Nationwide Children's Hospital (US), GTx (United States) (US), Medical Protective (US), Ohio Department of Health (US), Kleijnen Systematic Reviews (United Kingdom) (GB), Institute for Clinical and Economic Review (US), The Ohio State University (US), Reed College (US), Toto (Japan) (JP)
Openalex Percentile: Top 61%
Syphilis Diagnosis and Treatment
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