Boot J M, Menke H E, van Eijk R V, Oranje A P, Stolz E
Department of Dermatology, Rotterdam University Hospital Dijkzigt, The Netherlands.
Genitourin Med. 1988 Oct;64(5):298-302. doi: 10.1136/sti.64.5.298.
During 1982-5 the 19S (IgM) fluorescent treponemal antibody absorption (19S (IgM) FTA-ABS) test gave positive results in 19 children. The parental histories were analysed. As five of the children were adopted, 14 pregnancies were evaluated. Mothers of foreign origin and extramarital pregnancies were found to be over-represented. Of 13 women who attended for pregnancy checkup, three were not serologically screened for syphilis. In four the infection had developed late in the course of pregnancy. In at least four treatment had not been given or had been inadequate or too late. At least two had positive 19S (IgM) FTA-ABS test results that did not indicate congenital syphilis. The possibility of false positive 19S (IgM) FTA-ABS test results is pointed out. As the male sexual partners of four of the 14 mothers had presented elsewhere with early syphilis at the time of their partner's pregnancy, adequate contact tracing appears to be important to prevent congenital syphilis in future.
在1982年至1985年期间，19S（IgM）荧光密螺旋体抗体吸收试验（19S（IgM）FTA - ABS）在19名儿童中呈阳性结果。对其父母的病史进行了分析。由于其中5名儿童是领养的，因此对14次妊娠情况进行了评估。发现有外国血统母亲和非婚妊娠的情况比例过高。在13名前来进行孕期检查的妇女中，有3名未接受梅毒血清学筛查。4名妇女在妊娠后期感染梅毒。至少有4名妇女未接受治疗，或治疗不充分或治疗过晚。至少有2名妇女19S（IgM）FTA - ABS试验结果呈阳性，但并非先天性梅毒。文中指出了19S（IgM）FTA - ABS试验结果出现假阳性的可能性。由于14名母亲中有4名的男性伴侣在其伴侣怀孕时曾在其他地方出现早期梅毒症状，因此充分的接触者追踪对于预防未来的先天性梅毒似乎很重要。
