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Volume 32, Number 8—August 2026

Dispatch

Detection of Congenital Syphilis via Digital PCR and Next-Generation Sequencing, Colombia

Ana M. Bossa-Castro, Narda M. Olarte EscobarComments to Author , Ismael Alberto Valderrama Márquez, Deisy Abril, Luis Fuentes, Zayda Lorena Corredor-Rozo, Ruth Liliana López Cruz, Sharon Hassbleidy Ochoa Ramírez, José Alejandro Mojica Madera, Pedro José Ramos Cabrera, Jorge Eliecer Castellanos Corredor, Nidia Aydee Garay Bernal, Ana María Gómez Puentes, Carlos Alberto Morales Pertuz, and Javier Escobar-PérezComments to Author 
Author affiliation: Universidad El Bosque, Vicerrectoría de Investigaciones, Bacterial Molecular Genetics Laboratory, Bogota, Colombia (A.M. Bossa-Castro, D. Abril, L. Fuentes, Z.L. Corredor-Rozo, A.M. Gómez Puentes, J. Escobar-Pérez); Subred Integrada de Servicios de Salud Sur E.S.E., Bogota (N.M. Olarte Escobar, I.A. Valderrama Márquez, R.L. López Cruz, S.H. Ochoa Ramírez, J.A. Mojica Madera, P.J. Ramos Cabrera, J.E. Castellanos Corredor, N.A. Garay Bernal, C.A. Morales Pertuz)

Main Article

Table

Newborn clinical test results for detection of congenital syphilis via digital PCR and next-generation sequencing, Colombia*

Parameter Patient values CS range (reference)
Blood
Leukocytes, cells/µL 11,090 >35,000 (3,4)
Platelets, cells/µL 137,000 <150,000 (3,4)
AST, U/L 26 >34.46 (3,4)
ALT, U/L <7 >12.35 (3,4)
Total bilirubin, µmol/L 85.33 NA†
Direct bilirubin, µmol/L
13.33
>20% of total bilirubin (3,4)
Cerebrospinal fluid
Leukocytes, cells/mm3 3 <15 (3,5)
Erythrocytes, cells/mm3 5 (100% fresh) NA
Proteins 92.2 Premature newborn, <170 (3,5); full-term newborn <30 days of age, <120 (3,5)
Glucose, mg/dL 58 NA
VDRL test Nonreactive Reactive

*ALT, alanine transaminase; AST, aspartate aminotransferase; CS, congenital syphilis; NA, not applicable; VDRL, venereal disease research laboratory. †No parameter suggestive of CS has been established.

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References
  1. World Health Organization. WHO guidelines for the treatment of Treponema pallidum (syphilis). Geneva; The Organization: 2016.
  2. Workowski  KA, Bachmann  LH, Chan  PA, Johnston  CM, Muzny  CA, Park  I, et al. Sexually transmitted infections treatment guidelines, 2021. MMWR Recomm Rep. 2021;70:1187. DOIPubMedGoogle Scholar
  3. Ministry of Health and Social Protection. Evidence-based clinical practice guideline (CPG) for the comprehensive care of gestational and congenital syphilis [in Spanish]. Bogata: The Ministry; 2014.
  4. National Institute of Health. Public health surveillance protocol for gestational and congenital syphilis [in Spanish]. Bogata: The Institute; 2015.
  5. Centers for Disease Control and Prevention. Congenital syphilis (CS) case investigation and report form, 2013 [cited 2025 Oct 27]. https://stacks.cdc.gov/view/61366
  6. Papp  JR, Park  IU, Fakile  Y, Pereira  L, Pillay  A, Bolan  GA. CDC laboratory recommendations for syphilis testing, United States, 2024. MMWR Recomm Rep. 2024;73:132. DOIPubMedGoogle Scholar
  7. Palmer  HM, Higgins  SP, Herring  AJ, Kingston  MA. Use of PCR in the diagnosis of early syphilis in the United Kingdom. Sex Transm Infect. 2003;79:47983. DOIPubMedGoogle Scholar
  8. Sancha Dominguez  L, Cotos Suárez  A, Sánchez Ledesma  M, Muñoz Bellido  JL. Present and future applications of digital PCR in infectious diseases diagnosis. Diagnostics (Basel). 2024;14:931. DOIPubMedGoogle Scholar
  9. Li  G, Sun  H, Ye  Y, Chen  L, Zhang  W, Yu  S, et al. Clinical utility of nanopore-targeted sequencing for diagnosing and treating pulmonary infectious diseases from bronchoalveolar lavage fluid. Front Cell Infect Microbiol. 2025;15:1469440. DOIPubMedGoogle Scholar
  10. Edmondson  DG, Hu  B, Norris  SJ. Long-term in vitro culture of the syphilis spirochete Treponema pallidum subsp. pallidum. MBio. 2018;9:e0115318. DOIPubMedGoogle Scholar
  11. Wicher  K, Wicher  V. Median infective dose of Treponema pallidum determined in a highly susceptible guinea pig strain. Infect Immun. 1991;59:4536. DOIPubMedGoogle Scholar
  12. Arnold  SR, Ford-Jones  EL. Congenital syphilis: a guide to diagnosis and management. Paediatr Child Health. 2000;5:4639. DOIPubMedGoogle Scholar

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