Treponematosis Evidence in Human Skeletons of 15th–19th Centuries, Discovered in Iași City (Eastern Romania)

Syphilis, caused by the bacterium Treponema pallidum, has a complex evolutionary history, most likely being transferred from the Americas to Europe after the 15th century and subsequently spreading widely through sexual transmission. This work is one of the few studies on the skeletal evidence of probable treponematosis in archaeological populations discovered on the Romanian territory, providing data to better understand the disease history. Pathological lesions identified in three human skeletons of the 15th–19th centuries are described, and a diagnosis of treponematosis is performed. The three analyzed skeletons were discovered during the archaeological excavations in the necropolis of the Roman-Catholic Cathedral in Iasi City (Romania). The investigated skeletons belonged to individuals aged 30–40 years old (two females and one male). Somatoscopic, radiographic, tomographic, and microscopic examinations were used for the differential diagnosis. The results of multiple investigation methods support the diagnosis of probable treponematosis in all three skeletons, showing different stages of caries sicca in skull bones, cortical thickening, and new periosteal bone formation in postcranial bones.