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Fig. 1: Microwells showing positive and negative TPHA test. The Treponema pallidum particle agglutination assay (also called TPPA test) is an indirect agglutination assay used for detection and titration of antibodies against the causative agent of syphilis, Treponema pallidum subspecies pallidum. It also detects other treponematoses. [citation ...
The fluorescent treponemal antibody absorption (FTA-ABS) test is a diagnostic test for syphilis.Using antibodies specific for the Treponema pallidum species, such tests would be assumed to be more specific than non-treponemal testing such as VDRL but have been shown repeatedly to be sensitive but not specific for the diagnosis of neurosyphilis in cerebrospinal fluid (CSF).
Treponema pallidum particle agglutination assay and the Toluidine red unheated serum test (TRUST), which may be used to confirm a positive VDRL result, are more specific for syphilis than non-treponemal tests and in the presence of a positive test, more likely indicate active infection.
Treponema pallidum is a helically shaped bacterium with high motility consisting of an outer membrane, peptidoglycan layer, inner membrane, protoplasmic cylinder, and periplasmic space. [9] It is often described as gram-negative , but its outer membrane lacks lipopolysaccharide , which is found in the outer membrane of other gram-negative ...
Treponema pallidum subspecies pallidum is a spiral-shaped, Gram-negative, highly mobile bacterium. [ 11 ] [ 22 ] Two other human diseases are caused by related Treponema pallidum subspecies, yaws (subspecies pertenue ) and bejel (subspecies endemicum ), and one further caused by the very closely related Treponema carateum , pinta .
Tests based on monoclonal antibodies and immunofluorescence, including T. pallidum hemagglutination assay and fluorescent treponemal antibody absorption are more specific and more expensive. Nontreponemal tests (NTT) measure levels of immunoglobulin G (IgG) and immunoglobulin M (IgM) antibodies produced by the host in response to lipoidal ...
The CSF is tested for antibodies for specific Treponema pallidum antigens. The preferred test is the VDRL test, which is sometimes supplemented by fluorescent treponemal antibody absorption test (FTA-ABS). [1] [2] [3] Historically, the disease was studied under the Tuskegee study, often cited as an example of unethical human experimentation.
It is caused by the bacterium Treponema pallidum subspecies pallidum when it infects the baby after crossing the placenta or from contact with a syphilitic sore at birth. [4] [5] It is not transmitted during breastfeeding unless there is an open sore on the mother's breast. [4] The unborn baby can become infected at any time during the ...