{"id":987,"date":"2025-07-29T13:41:10","date_gmt":"2025-07-29T10:41:10","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/sifiliticheskii-vaginit\/"},"modified":"2026-02-24T15:46:17","modified_gmt":"2026-02-24T12:46:17","slug":"vaginite-syphilitique","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/gynecologie\/vaginite-syphilitique\/","title":{"rendered":"Vaginite syphilitique&nbsp;: sympt\u00f4mes, diagnostic, traitement."},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>La syphilis est une maladie syst\u00e9mique chez l\u2019homme caus\u00e9e par le <em>Treponema pallidum<\/em>. La vaginite syphilitique est une manifestation de la syphilis g\u00e9nitale primaire pr\u00e9coce.<\/p>\n<p>P\u00e9riode d\u2019incubation\u00a0: 10 \u00e0 90\u00a0jours entre l\u2019infection et l\u2019apparition du <span class=\"glossary-term\" data-title=\"Chancre syphilitique\" data-tooltip=\"Le chancre syphilitique (du fran\u00e7ais &lt;em&gt;chancre&lt;\/em&gt; - ulc\u00e8re) est une manifestation affective primaire de la syphilis qui se produit au site d&#039;inoculation (introduction) de l&#039;agent infectieux - letr\u00e9pon\u00e8me p\u00e2le (&lt;em&gt;Treponema pallidum&lt;\/em&gt;). Il s&#039;agit d&#039;une affection \u00e9rosive et ulc\u00e9reuse sp\u00e9cifique de la peau ou des muqueuses g\u00e9nitales. \" data-link=\"https:\/\/wiki.dev.voka.io\/fr\/glossaire\/chancre-syphilitique\/\">chancre<\/span>.<\/p>\n<figure class=\"wp-block-video\" id=\"animation-3d-vaginite-syphilitique\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/gynecology\/syphilitic-vaginitis\/syphilitic-vaginit.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Animation 3D\u00a0: vaginite syphilitique<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"presentation-clinique\"><strong>Pr\u00e9sentation clinique<\/strong><\/h2>\n<p>Lors d\u2019un examen pelvien au sp\u00e9culum, un chancre superficiel unique est r\u00e9v\u00e9l\u00e9, g\u00e9n\u00e9ralement indolore\u00a0; sa base est propre et les s\u00e9cr\u00e9tions sont transparentes. Un chancre peut \u00eatre associ\u00e9 \u00e0 une lymphad\u00e9nopathie r\u00e9gionale. Les chancres atypiques peuvent appara\u00eetre multiples, douloureux, profonds et indiscernables d\u2019un ulc\u00e8re herp\u00e9tique. Toute ulc\u00e9ration anog\u00e9nitale doit \u00eatre consid\u00e9r\u00e9e comme syphilitique jusqu\u2019\u00e0 preuve du contraire. <\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/gynecology\/syphilitic-vaginitis\/syphilitic-ulcer-of-vagina-gynecological-examination-view-left-and-lateral-wall-of-vagina-right.webp\" alt=\"Ulc\u00e9ration vaginale syphilitique&nbsp;: vue lors d'un examen pelvien (\u00e0 gauche) et paroi vaginale lat\u00e9rale (\u00e0 droite)\"><figcaption class=\"wp-element-caption\">Ulc\u00e9ration vaginale syphilitique\u00a0: vue lors d\u2019un examen pelvien (\u00e0 gauche) et paroi vaginale lat\u00e9rale (\u00e0 droite)\u00a0: <a href=\"https:\/\/catalog.voka.io\/en\/models\/90b91890-b37e-4be0-a70a-ad98300beb70\/5a360733-02aa-4f76-a879-2a5316dc8ed7\/6a8e8161-90eb-4f04-a760-2ee8ede88ce8\/fa7c5f88-dd82-4dff-b4d3-a5fc96a07af2\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le\u00a03D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"diagnostic-de-la-vaginite-syphilitique\"><strong>Diagnostic de la vaginite syphilitique<\/strong><\/h2>\n<p>Pour confirmer la vaginite syphilitique, des m\u00e9thodes de diagnostic directes et indirectes (s\u00e9rologiques) sont utilis\u00e9es.<\/p>\n<h3 class=\"wp-block-heading\" id=\"1-methodes-directes-detection-du-pathogene\"><strong>1. M\u00e9thodes directes (d\u00e9tection du pathog\u00e8ne)<\/strong><\/h3>\n<p>Ces m\u00e9thodes visent \u00e0 d\u00e9tecter le <em>Treponema pallidum<\/em> dans des \u00e9chantillons de l\u00e9sions\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>La <strong>microscopie en fond noir<\/strong> fait r\u00e9f\u00e9rence \u00e0 une visualisation de tr\u00e9pon\u00e8mes mobiles dans l\u2019exsudat de chancre ou d\u2019\u00e9rosion.<\/li>\n<li>Les <strong>tests mol\u00e9culaires (PCR)<\/strong> sont utilis\u00e9s pour d\u00e9tecter l\u2019ADN du <em>T.\u00a0pallidum<\/em> dans les tissus ou les s\u00e9cr\u00e9tions.<\/li>\n<li>L\u2019<strong>immunohistochimie<\/strong> (moins utilis\u00e9e) est employ\u00e9e pour d\u00e9tecter des tr\u00e9pon\u00e8mes dans des biopsies de mucus \u00e0 l\u2019aide d\u2019anticorps.<\/li>\n<\/ul>\n<p>Les m\u00e9thodes directes sont les plus efficaces aux premiers stades (syphilis primaire) lorsque les tests s\u00e9rologiques peuvent \u00eatre encore n\u00e9gatifs.<\/p>\n<h3 class=\"wp-block-heading\" id=\"2-diagnostic-serologique-methode-principale\"><strong>2. Diagnostic s\u00e9rologique (m\u00e9thode principale)<\/strong><\/h3>\n<p>Pour confirmer la syphilis, il est <strong>obligatoire d\u2019utiliser deux types de tests<\/strong>\u00a0:<\/p>\n<figure class=\"wp-block-table table-to-cards\">\n<table>\n<thead>\n<tr>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Type de test<\/strong><\/th>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Exemples de m\u00e9thode<\/strong><\/th>\n<th><strong>Description<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>Non tr\u00e9pon\u00e9miques<\/strong> (d\u00e9pistage)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Tests Venereal Disease Research Laboratory (VDRL), Rapid Plasma Reagin (RPR), Toluidine Red Unheated Serum Test (TRUST), Unheated Serum Reagins (USR)<\/td>\n<td>Ils aident \u00e0 d\u00e9tecter des anticorps anti-lipidiques apparaissant 1 \u00e0 4\u00a0semaines apr\u00e8s la formation du chancre. Les r\u00e9sultats peuvent \u00eatre faux positifs (en cas de maladies auto-immunes, de grossesse, etc.)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>Tr\u00e9pon\u00e9miques<\/strong> (confirmatoires)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Tests Enzyme-Linked Immunosorbent Assay (ELISA), Treponema Pallidum Hemagglutination Assay (TPHA), Direct Immunofluorescence (DIF), Immunoblot, Chemiluminescent Immunoassay (CLIA) et Treponema Pallidum Immobilization (TPI)<\/td>\n<td>Ils aident \u00e0 d\u00e9tecter des anticorps sp\u00e9cifiques au <em>T.\u00a0pallidum<\/em>. Les r\u00e9sultats restent positifs m\u00eame apr\u00e8s traitement<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p><strong>Remarque\u00a0:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Seule la combinaison de deux tests<\/strong> (non tr\u00e9pon\u00e9mique + tr\u00e9pon\u00e9mique) permet un diagnostic pr\u00e9cis.<\/li>\n<li>L\u2019utilisation <strong>d\u2019un seul type de test<\/strong> peut mener \u00e0\u00a0:\n<ul class=\"wp-block-list\">\n<li><strong>Des r\u00e9sultats faux n\u00e9gatifs<\/strong> (au stade pr\u00e9coce).<\/li>\n<li><strong>Des r\u00e9sultats faux positifs<\/strong> (en raison de r\u00e9actions crois\u00e9es ou d\u2019un ant\u00e9c\u00e9dent de syphilis).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"traitementde-la-vaginite-syphilitique\"><strong>Traitement<\/strong><strong>de la vaginite syphilitique<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"penicilline-g\"><strong>P\u00e9nicilline G<\/strong><\/h3>\n<p>La p\u00e9nicilline\u00a0G parent\u00e9rale est l\u2019agent de choix pour traiter les patients \u00e0 tous les stades de la syphilis. La dose initiale pour les adultes et les adolescents atteints de syphilis pr\u00e9coce, selon les directives de l\u2019OMS pour la gestion des infections sexuellement transmissibles (IST), est de 2,4\u00a0millions d\u2019unit\u00e9s de benzathine benzylp\u00e9nicilline administr\u00e9es en une seule injection intramusculaire.<\/p>\n<p>Le m\u00e9dicament, sa posologie et la dur\u00e9e du traitement peuvent varier selon le stade de la maladie et la pr\u00e9sentation clinique. Pour obtenir un effet th\u00e9rapeutique, il est n\u00e9cessaire d\u2019assurer un niveau tr\u00e9pon\u00e9micide d\u2019antimicrobiens dans le s\u00e9rum.<\/p>\n<p><strong>Caract\u00e9ristiques de la concentration tr\u00e9pon\u00e9micide\u00a0:<\/strong><\/p>\n<figure class=\"wp-block-table table-to-cards\">\n<table>\n<thead>\n<tr>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Param\u00e8tre<\/strong><\/th>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Valeur<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Niveau tr\u00e9pon\u00e9micide minimal<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>\u00a00,018\u00a0mg\/L<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Concentration efficace in vitro<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">0,36\u00a0mg\/L<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Dur\u00e9e recommand\u00e9e du traitement<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Au moins 7 \u00e0 10\u00a0jours<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p>Un traitement plus long est n\u00e9cessaire pour une infection chronique, surtout \u00e0 un stade avanc\u00e9 de la syphilis. Cela est d\u00fb \u00e0 une division plus lente des tr\u00e9pon\u00e8mes, qui r\u00e9duit l\u2019efficacit\u00e9 des traitements courts et augmente le risque de rechutes.<\/p>\n<h3 class=\"wp-block-heading\" id=\"alternatives-pour-les-patients-allergiques-a-la-penicilline\"><strong>Alternatives pour les patients allergiques \u00e0 la p\u00e9nicilline<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>D\u00e9sensibilisation \u00e0 la p\u00e9nicilline suivie d\u2019une th\u00e9rapie de premi\u00e8re ligne.<\/li>\n<li>M\u00e9dicaments alternatifs\u00a0:\n<ul class=\"wp-block-list\">\n<li>Ceftriaxone\u00a0;<\/li>\n<li>Doxycycline (oral).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"surveillance-du-traitement\"><strong>Surveillance du traitement<\/strong><\/h3>\n<p>Pour observer la progression de la maladie et \u00e9valuer l\u2019effet du traitement, des tests s\u00e9rologiques quantitatifs VDRL ou RPR sont utilis\u00e9s. Le titrage quantitatif doit \u00eatre document\u00e9 le premier jour du traitement comme niveau de base.<\/p>\n<p><strong>Calendrier recommand\u00e9 pour le suivi\u00a0:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>1\u00a0mois apr\u00e8s le d\u00e9but de la th\u00e9rapie\u00a0;<\/li>\n<li>3\u00a0mois plus tard\u00a0;<\/li>\n<li>Ensuite tous les 6\u00a0mois.<\/li>\n<\/ul>\n<p>Il est important d\u2019utiliser le m\u00eame test dans le m\u00eame laboratoire pour la comparabilit\u00e9 des r\u00e9sultats. Le suivi continue jusqu\u2019\u00e0 ce que le r\u00e9sultat du test devienne n\u00e9gatif ou qu\u2019un titre bas et stable soit atteint (1:1 \u00e0 1:4 pendant 1\u00a0an en l\u2019absence de risque de r\u00e9infection).<\/p>\n<p>Les patients pr\u00e9sentant des titres \u00e9lev\u00e9s persistants doivent \u00eatre suivis \u00e0 long terme.<\/p>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h3 class=\"wp-block-heading\" id=\"traitement-de-la-vaginite-syphilitique-pendant-la-grossesse\"><strong>Traitement de la vaginite syphilitique pendant la grossesse<\/strong><\/h3>\n<p>Chez les femmes enceintes avec une syphilis pr\u00e9coce non trait\u00e9e, le risque d\u2019infection f\u0153tale intra-ut\u00e9rine est de 70 \u00e0 100\u00a0%. Jusqu\u2019\u00e0 un tiers des cas peut aboutir \u00e0 une mortinatalit\u00e9.<\/p>\n<p>L\u2019infection f\u0153tale survient le plus souvent \u00e0 la fin de la grossesse (apr\u00e8s 28\u00a0semaines). Un traitement avant ce terme pr\u00e9vient g\u00e9n\u00e9ralement les complications chez le f\u0153tus.<\/p>\n<p>La p\u00e9nicilline\u00a0G par voie parent\u00e9rale est le seul m\u00e9dicament ayant prouv\u00e9 son efficacit\u00e9 dans le traitement de la syphilis pendant la grossesse.<\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. En quoi la vaginite syphilitique diff\u00e8re-t-elle des autres IST\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La vaginite syphilitique est caus\u00e9 par le <em>Treponema pallidum<\/em> et se manifeste par un ulc\u00e8re non douloureux (chancre) \u00e0 base propre. Contrairement \u00e0 l\u2019herp\u00e8s, l\u2019ulc\u00e8re dans le cas de la syphilis est g\u00e9n\u00e9ralement unique, sans inflammation \u00e9vidente, et est associ\u00e9 \u00e0 une lymphad\u00e9nopathie r\u00e9gionale.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Un chancre syphilitique peut-il causer de la douleur\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Oui, dans certains cas, le chancre peut \u00eatre atypique\u00a0: multiple, douloureux et profond. De telles formes sont difficiles \u00e0 diff\u00e9rencier des l\u00e9sions herp\u00e9tiques et n\u00e9cessitent un diagnostic en laboratoire.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Pourquoi la combinaison de deux tests s\u00e9rologiques est-elle importante dans le diagnostic\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les tests non tr\u00e9pon\u00e9miques peuvent \u00eatre faux n\u00e9gatifs au stade pr\u00e9coce ou faux positifs dans d\u2019autres conditions (grossesse ou maladies auto-immunes). Les tests tr\u00e9pon\u00e9miques confirment la pr\u00e9sence d\u2019anticorps sp\u00e9cifiques mais ne diff\u00e9rencient pas une infection pass\u00e9e de l\u2019infection actuelle. L\u2019utilisation des deux tests augmente la pr\u00e9cision du diagnostic.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Peut-on traiter la syphilis pendant la grossesse\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Oui, et c\u2019est n\u00e9cessaire. La p\u00e9nicilline\u00a0G est le seul m\u00e9dicament dont l\u2019efficacit\u00e9 a \u00e9t\u00e9 prouv\u00e9e dans le traitement de la syphilis chez la femme enceinte. Un traitement rapide r\u00e9duit le risque d\u2019infection intra-ut\u00e9rine et de mortinatalit\u00e9.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet] (VOKA 3D Anatomie et Pathologie \u2013 Atlas 3D complet d\u2019anatomie et de pathologie [Internet]). VOKA 3D Anatomy & Pathology (VOKA 3D Anatomie et Pathologie). <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Towns JM, Leslie DE, Denham I, Azzato F, Fairley CK, Chen M. Painful and multiple anogenital lesions are common in men with Treponema pallidum PCR-positive primary syphilis without herpes simplex virus coinfection: a cross-sectional clinic-based study (Les l\u00e9sions anog\u00e9nitales douloureuses et multiples sont courantes chez les hommes atteints de syphilis primaire avec test PCR positif pour le Treponema pallidum sans co-infection par le virus de l\u2019herp\u00e8s simplex\u00a0: une \u00e9tude clinique transversale). SexTransm Infect 2016;92:110-5. PMID:26378262. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Theel ES, Katz SS, Pillay A. Molecular and direct detection tests for Treponema pallidum subspecies pallidum: a review of the literature (Tests de d\u00e9tection mol\u00e9culaire et directe pour le Treponema pallidum sous-esp\u00e8ce pallidum\u00a0: une revue de la litt\u00e9rature), 1964-2017. Clin Infect Dis 2020;71(Suppl 1):S4-12. PMID:32578865.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Tuddenham S, Katz SS, Ghanem KG. Syphilis laboratory guidelines: performance characteristics of nontreponemal antibody tests (Directives de laboratoire pour la syphilis\u00a0: caract\u00e9ristiques de performance des tests non-tr\u00e9pon\u00e9miques par anticorps). ClinInfect Dis 2020;71(Suppl 1):S21-42. PMID:32578862. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Park IU, Tran A, Pereira L, Fakile Y. Sensitivity and specificity of treponemal-specific tests for the diagnosis of syphilis (Sensibilit\u00e9 et sp\u00e9cificit\u00e9 des tests sp\u00e9cifiques au tr\u00e9pon\u00e8me pour le diagnostic de la syphilis). Clin Infect Dis 2020;71(Suppl 1):S13-20. PMID:32578866.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Bristow CC, Klausner JD, Tran A. Clinical test performance of a rapid point-of-care syphilis treponemal antibody test: a systematic review and meta-analysis (Performances cliniques du test rapide d\u2019anticorps tr\u00e9pon\u00e9mique au point de soins pour la syphilis\u00a0: une revue syst\u00e9matique et une m\u00e9ta-analyse). Clin Infect Dis 2020;71(Suppl 1):S52-7. PMID:32578863.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Nandwani R, Evans DT. Are you sure it\u2019s syphilis? A review of false positive serology (\u00cates-vous s\u00fbr que c\u2019est la syphilis\u00a0? Une \u00e9tude sur la s\u00e9rologie fausse positive). Int J STD AIDS 1995;6:241-8. PMID:7548285.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Romanowski B, Sutherland R, Fick GH, Mooney D, Love EJ. Serologic response to treatment of infectious syphilis (R\u00e9ponse s\u00e9rologique au traitement de la syphilis infectieuse). Ann Intern Med 1991;114:1005-9. PMID:2029095.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>CDC. Syphilis testing algorithms using treponemal tests for initial screening\u2014four laboratories (Algorithmes de test pour la syphilis utilisant des tests tr\u00e9pon\u00e9miques pour le d\u00e9pistage initial \u2013 quatre laboratoires), New York, 2005-2006. MMWR Morb Mortal Wkly Rep 2008;57:872-5. PMID:18701877.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">10.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>CDC. Discordant results from reverse sequence syphilis screening\u2014five laboratories (R\u00e9sultats discordants du d\u00e9pistage invers\u00e9 de la syphilis \u2013 cinq laboratoires), \u00c9tats-Unis, 2006-2010. MMWR Morb Mortal Wkly Rep 2011;60:133-7. PMID:21307823.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">11.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ortiz DA, Shukla MR, Loeffelholz MJ. The traditional or reverse algorithm for diagnosis of syphilis: pros and cons. (L\u2019algorithme traditionnel ou invers\u00e9 pour le diagnostic de la syphilis\u00a0: pour et contre). Clin Infect Dis 2020;71(Suppl 1):S43-51. PMID:32578864.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">12.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Berry GJ, Loeffelholz MJ. Use of treponemal screening assay strength of signal to avoid unnecessary confirmatory testing (Utilisation de la force du signal d\u2019essai de d\u00e9pistage tr\u00e9pon\u00e9mique pour \u00e9viter les tests de confirmation inutiles). Sex Transm Dis 2016;43:737-40. PMID:27835625.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">13.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Park IU, Chow JM, Bolan G, Stanley M, Shieh J, Schapiro JM. Screening for syphilis with the treponemal immunoassay: analysis of discordant serology results and implications for clinical management (D\u00e9pistage de la syphilis avec l\u2019immuno-essai tr\u00e9pon\u00e9mique\u00a0: analyse des r\u00e9sultats s\u00e9rologiques discordants et implications pour la gestion clinique). J Infect Dis 2011;204:1297-304. PMID:21930610.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">14.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Loeffelholz MJ, Wen T, Patel JA. Analysis of bioplex syphilis IgG quantitative results in different patient populations (Analyse des r\u00e9sultats quantitatifs de l\u2019IgG Bioplex syphilis dans diff\u00e9rentes populations de patients). Clin Vaccine Immunol 2011;18:2005-6. PMID:21880852.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">15.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Fakile YF, Jost H, Hoover KW, et al. Correlation of treponemal immunoassay signal strength values with reactivity of confirmatory treponemal testing (Corr\u00e9lation des valeurs de la force du signal de l\u2019immunodosage tr\u00e9pon\u00e9mique avec la r\u00e9activit\u00e9 des tests tr\u00e9pon\u00e9miques confirmatoires). J Clin Microbiol 2017;56:e01165-17. PMID:29046410.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">16.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Wong EH, Klausner JD, Caguin-Grygiel G, et al. Evaluation of an IgM\/IgG sensitive enzyme immunoassay and the utility of index values for the screening of syphilis infection in a high-risk population (\u00c9valuation d\u2019un immunodosage enzymatique sensible IgM\/IgG et de l\u2019utilit\u00e9 des valeurs d\u2019index pour le d\u00e9pistage de l\u2019infection syphilitique dans une population \u00e0 haut risque). Sex Transm Dis 2011;38:528-32. PMID:21233789.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">17.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Dai S, Chi P, Lin Y, et al. Improved reverse screening algorithm for Treponema pallidum antibody using signal-to-cutoff ratios from chemiluminescence microparticle immunoassay (Algorithme de d\u00e9pistage invers\u00e9 am\u00e9lior\u00e9 pour l\u2019anticorps du Treponema pallidum utilisant les rapports signal-seuil de l\u2019immunodosage par microparticules \u00e0 chimiluminescence). Sex Transm Dis 2014;41:29-34. PMID:24326578.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">18.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Li Z, Feng Z, Liu P, Yan C. Screening for antibodies against Treponema pallidum with chemiluminescent microparticle immunoassay: analysis of discordant serology results and clinical characterization (D\u00e9pistage des anticorps contre le Treponema pallidum par immunodosage par microparticules \u00e0 chimiluminescence\u00a0: analyse des r\u00e9sultats de s\u00e9rologie discordante et caract\u00e9risation clinique). Ann Clin Biochem 2016;53:588-92. PMID:26680646.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">19.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Yen-Lieberman B, Daniel J, Means C, Waletzky J, Daly TM. Identification of false-positive syphilis antibody results using a semiquantitative algorithm (Identification des r\u00e9sultats faux positifs des anticorps syphilitiques en utilisant un algorithme semi-quantitatif). Clin Vaccine Immunol 2011;18:1038-40. PMID:21508162.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">20.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Butler T. The Jarisch-Herxheimer reaction after antibiotic treatment of spirochetal infections: a review of recent cases and our understanding of pathogenesis (<span class=\"glossary-term\" data-title=\"La r\u00e9action de Jarisch-Herxheimer\" data-tooltip=\"La r\u00e9action de Jarisch-Gerxheimer (d&#039;apr\u00e8s les noms des dermatologues autrichien et allemand qui ont d\u00e9crit le ph\u00e9nom\u00e8ne) est une r\u00e9action immunitaire syst\u00e9mique transitoire de l&#039;organisme qui se d\u00e9veloppe dans les 24 heures suivant l&#039;instauration d&#039;une antibioth\u00e9rapie sp\u00e9cifique pour les infections \u00e0 spiroch\u00e8tes (syphilis, borr\u00e9liose, leptospirose).\" data-link=\"https:\/\/wiki.dev.voka.io\/fr\/glossaire\/reaction-de-jarisch-herxheimer\/\">La r\u00e9action de Jarisch-Herxheimer<\/span> apr\u00e8s traitement antibiotique des infections spiroch\u00e9tales\u00a0: une revue des cas r\u00e9cents et notre compr\u00e9hension de la pathogen\u00e8se). Am J Trop Med Hyg 2017;96:46-52. PMID:28077740.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">21.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Elgalib A, Alexander S, Tong CY, White JA. Seven days of doxycycline is an effective treatment for asymptomatic rectal Chlamydia trachomatis infection (Sept jours de doxycycline est un traitement efficace pour l\u2019infection \u00e0 Chlamydia trachomatis rectale asymptomatique). Int J STD AIDS 2011;22:474-7. PMID:21764781.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">22.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Se\u00f1a AC, Wolff M, Behets F, et al. Response to therapy following retreatment of serofast early syphilis patients with benzathine penicillin (R\u00e9ponse au traitement apr\u00e8s le retraitement des patients syphilitiques pr\u00e9coces s\u00e9rofastes avec la p\u00e9nicilline benzathine). Clin Infect Dis 2013;56:420-2. PMID:23118269.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">23.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Cao Y, Su X, Wang Q, et al. A multicenter study evaluating ceftriaxone and benzathine penicillin G as treatment agents for early syphilis in Jiangsu, China (Une \u00e9tude multicentrique \u00e9valuant la ceftriaxone et la p\u00e9nicilline benzathine\u00a0G comme agents de traitement de la syphilis pr\u00e9coce dans le Jiangsu, Chine). Clin Infect Dis 2017;65:1683-8. PMID:29020150.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">24.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ghanem KG, Erbelding EJ, Cheng WW, Rompalo AM. Doxycycline compared with benzathine penicillin for the treatment of early syphilis (Doxycycline compar\u00e9e \u00e0 la p\u00e9nicilline benzathine pour le traitement de la syphilis pr\u00e9coce). Clin Infect Dis 2006;42:e45-9. PMID:16477545.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">25.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Wendel GD Jr, Sheffield JS, Hollier LM, Hill JB, Ramsey PS, S\u00e1nchez PJ. Treatment of syphilis in pregnancy and prevention of congenital syphilis (Traitement de la syphilis pendant la grossesse et pr\u00e9vention de la syphilis cong\u00e9nitale). Clin Infect Dis 2002;35(Suppl 2):S200-9. PMID:12353207.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">26.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Katanami Y, Hashimoto T, Takaya S, et al. Amoxicillin and ceftriaxone as treatment alternatives to penicillin for maternal syphilis (Amoxicilline et ceftriaxone comme alternatives th\u00e9rapeutiques \u00e0 la p\u00e9nicilline pour la syphilis maternelle). Emerg Infect Dis 2017;23:827-9. PMID:28418316.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">27.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Macy E, Vyles D. Who needs penicillin allergy testing? (Qui a besoin de tests d\u2019allergie \u00e0 la p\u00e9nicilline\u00a0?) Ann Allergy Asthma Immunol 2018;121:523-9. PMID:30092265.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">28.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Blumenthal KG, Peter JG, Trubiano JA, Phillips EJ. Antibiotic allergy (Allergie aux antibiotiques). Lancet 2019;393:183-98. PMID: 30558872.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>La syphilis est une maladie syst\u00e9mique chez l&rsquo;homme caus\u00e9e par le Treponema pallidum. La vaginite syphilitique est une manifestation de la syphilis g\u00e9nitale primaire pr\u00e9coce. P\u00e9riode d&rsquo;incubation\u00a0: 10 \u00e0 90\u00a0jours entre l&rsquo;infection et l&rsquo;apparition du chancre. Pr\u00e9sentation clinique Lors d&rsquo;un examen pelvien au sp\u00e9culum, un chancre superficiel unique est r\u00e9v\u00e9l\u00e9, g\u00e9n\u00e9ralement indolore\u00a0; sa base est [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"template":"","diseases_category":[246],"class_list":["post-987","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-gynecologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vaginite syphilitique\u00a0: causes, sympt\u00f4mes, diagnostic et traitement<\/title>\n<meta name=\"description\" content=\"La vaginite syphilitique est une manifestation de la syphilis g\u00e9nitale primaire pr\u00e9coce chez les femmes. 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