Article
Macrolide treatment failure in a case of secondary syphilis: a novel A2059G mutation in the 23S rRNA gene of Treponema pallidum subsp. pallidum.
Journal of medical microbiology - 1 Jun 2009
Matějková Petra, Flasarová Magdalena, Zákoucká Hana, Bořek Milan, Křemenová Soňa, Arenberger Petr, Woznicová Vladana, Weinstock George M, Šmajs David
Abstract excerpt
We report an occurrence of treatment failure after oral spiramycin therapy in a man with secondary syphilis and a reported penicillin and tetracycline allergy. Molecular detection revealed treponemal DNA in the blood of the patient and sequencing of the 23S rDNA identified an A to G transition at the gene position corresponding to position 2059 in the Escherichia coli 23S rRNA gene. The occurrence of this novel...
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