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Volume 16, Number 1—January 2010

Dispatch

Reemergence of Syphilis in Martinique, 2001–2008

André CabiéComments to Author , Bruno Rollin, Sandrine Pierre-François, Sylvie Abel, Nicole Desbois, Pascale Richard, Patrick Hochedez, Raphaëlle Théodose, Danielle Quist, Raymond Hélénon, Christian Derancourt, Annick Cavelier, and Bernard Liautaud
Author affiliations: Centre Hospitalier Universitaire de Fort-de-France, Fort-de-France, Martinique (A. Cabié, B. Rollin, S. Pierre-François, S. Abel, N. Desbois, P. Hochedez, R. Théodose, D. Quist, R. Hélénon, C. Derancourt, B. Liautaud); Clinical Research Center of French West Indies and French Guiana, Inserm CIE 802 (A. Cabié); Unité de Consultation et de Soins Ambulatoires Centre Médical Pénitentiaire de Fort-de-France (S. Abel, D. Quist); Etablissement Français du Sang, Fort-de-France (P. Richard); Vernes STD Clinic, Fort-de-France (R. Hélénon, A. Cavelier)

Main Article

Table 1

Characteristics of 55 patients with syphilis, University Hospital, Fort-de-France, Martinique, January 1, 2001– March 31, 2008*

Characteristic Syphilis stage
Total
Primary
Secondary
Early latent
HIV-positive HIV-negative HIV-positive HIV-negative HIV-positive HIV-negative
Total no. patients
1
11

24
9

4
6
55
Sex
M 1 9 17 6 4 0 37
F
0
2

7
3

0
6
18
MSM 1 1 13 3 3 0 21
Crack cocaine use 0 6 8 6 0 3 23
Precarious conditions
0
5

6
5

0
1
17
HIV diagnosis
Before syphilis 1 ND 18 ND 3 ND 22
Concomitant with syphilis
0
ND

6
ND

1
ND
7
Darkfield microscopy, no. positive/total 0/1 2/5 11/13 4/4 ND ND 17/23
Modal RPR titer 16 8 128 16 32 32 32

*MSM, men who have sex with men; precarious conditions, >1 of the following: homelessness, lack of welfare, being followed-up in a psychiatry unit, mental deficiency, having paid sex, incarceration in correctional facility >2× in the past 5 years; ND, not determined; RPR, rapid plasma reagin.

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