Evidence map›Paper›PMID 28866636›Full record

ArticleSexually transmitted infections2017

Transient aortitis documented by positron emission tomography in a case series of men and transgender women infected with syphilis.

Dvora Joseph Davey, Noah Kojima, Kelika A Konda, Pawan Gupta, Segundo R Leon, Gino M Calvo, Carlos F Caceres, Jeffrey D Klausner

Abstract read
In one paragraph

Article in Sexually transmitted infections, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Dvora Joseph DaveyDepartment of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.
Noah KojimaDavid Geffen School of Medicine, University of California, Los Angeles, California, USA.
Kelika A KondaDavid Geffen School of Medicine, University of California, Los Angeles, California, USA.
Pawan GuptaDavid Geffen School of Medicine, University of California, Los Angeles, California, USA.
Segundo R LeonUnit of Health, Sexuality and Human Development, Laboratory of Sexual Health, Universidad Peruana Cayetano Heredia, Lima, Peru.
Gino M CalvoUnit of Health, Sexuality and Human Development, Laboratory of Sexual Health, Universidad Peruana Cayetano Heredia, Lima, Peru.
Carlos F CaceresUnit of Health, Sexuality and Human Development, Laboratory of Sexual Health, Universidad Peruana Cayetano Heredia, Lima, Peru.
Jeffrey D KlausnerDepartment of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.
University of California, Los Angeles · USUniversidad Peruana Cayetano Heredia · PEHealth and Human Development (2HD) Research Network · CMUniversity of California System · US

Funding

Postdoctoral Training in Global AIDS Prevention ResearchT32MH080634 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JESSE LAWTON CLARK, Pamina Mae Gorbach · 2007 to 2026
$6.4M
Syphilis: Translating technology to understand a neglected epidemicR01AI099727 · NIAID · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI CACERES, CARLOS F. · 2012 to 2016
$1.1M
NIAID NIH HHS R01 AI099727NIMH NIH HHS T32 MH080634
6 · The paper itself

Abstract

objectivesSyphilis infection persists globally contributing to preventable and treatable morbidity and mortality. How extensive early syphilis disseminates is unknown. To better understand the relationship between early syphilis infection and inflammation over time, our study enrolled six individuals recently infected with syphilis for sequential positron emission tomography (PET) scans.

methodsWe evaluated a case series of six individuals with high syphilis titres (two secondary, two early latent and two latent, unknown duration, but with high titre) who received sequential PET scans to assess inflammation over time and its response to treatment.

resultsAt time of PET scan, four of the six individuals were co-infected with HIV. One of the four was not on antiretroviral therapy and three of the four were not virally suppressed (viral load of >400 copies/mL). Baseline rapid plasma reagin (RPR) titres ranged from 1:64 to 1:256 (four of the six participants had prior non-reactive RPR results). Five of the six participants had mild to intense hypermetabolic PET scan activity consistent with cervical (n=5), axillary (n=4), inguinal (n=5) and retroperitoneal (n=1) adenopathy. Mild hypermetabolic activity in the thoracic aortic wall, suggesting aortitis, was present among the same five participants and resolved within 30 days for four of the five participants and 60 days for the other participant. However, widespread lymphadenopathy remained present in PET scans up to 3 months following treatment in two participants. We did not find any abnormal PET scan activity of the central nervous system.

conclusionWe found abnormal aortic wall PET scan activity suggesting aortitis to be common in a case series of patients with early syphilis. In research settings, PET scans may be a sensitive tool to monitor inflammation associated with syphilis.

Indexed as

Positron-Emission TomographyTransgender PersonsAdultAortitisDirective CounselingFemaleHIV InfectionsHumansMaleMiddle AgedReferral and ConsultationSyphilisYoung AdultAortitisPositron-Emission TomographySyphilisSyphilis CardiovascularTransgender Persons

Identifiers

PMID28866636
PMCPMC5767276
OpenAlexW2753063288

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.