{"id":986,"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-sifilitica","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/pt\/doencas\/ginecologicas\/vaginite-sifilitica\/","title":{"rendered":"Vaginite sifil\u00edtica: sintomas, diagn\u00f3stico, tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>A s\u00edfilis \u00e9 uma doen\u00e7a sist\u00eamica em humanos causada pela bact\u00e9ria <em>Treponema pallidum<\/em>. A vaginite sifil\u00edtica \u00e9 uma manifesta\u00e7\u00e3o precoce da s\u00edfilis prim\u00e1ria genital.<\/p>\n<p>Per\u00edodo de incuba\u00e7\u00e3o: 10 a 90 dias entre a infec\u00e7\u00e3o e o aparecimento da ferida.<\/p>\n<figure class=\"wp-block-video\" id=\"animacao-3d-vaginite-sifilitica\"><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\">Anima\u00e7\u00e3o 3D: vaginite sifil\u00edtica<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"apresentacao-clinica\"><strong>Apresenta\u00e7\u00e3o cl\u00ednica<\/strong><\/h2>\n<p>Durante o exame com esp\u00e9culo p\u00e9lvico, revela-se uma \u00fanica ferida superficial, tipicamente indolor; sua base \u00e9 limpa e as secre\u00e7\u00f5es s\u00e3o transparentes. Uma ferida pode estar associada a linfadenopatia regional. Feridas at\u00edpicas podem aparecer de maneira m\u00faltipla, dolorosa, profunda e indistingu\u00edvel de uma \u00falcera herp\u00e9tica. Qualquer \u00falcera anogenital deve ser considerada sifil\u00edtica at\u00e9 prova em contr\u00e1rio. <\/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=\"\u00dalcera vaginal sifil\u00edtica: vista durante o exame p\u00e9lvico (esquerda) e parede vaginal lateral (direita)\"><figcaption class=\"wp-element-caption\"><span class=\"glossary-term\" data-title=\"Um cancro sifilitico\" data-tooltip=\"O cancro sifilitico (do franc\u00eas &lt;em&gt;chancre&lt;\/em&gt; - \u00falcera) \u00e9 uma manifesta\u00e7\u00e3o afectiva prim\u00e1ria da s\u00edfilis que ocorre no local de inocula\u00e7\u00e3o (introdu\u00e7\u00e3o) do agente infecioso - o treponema p\u00e1lido (&lt;em&gt;Treponema pallidum&lt;\/em&gt;). Trata-se de um defeito erosivo-ulceroso espec\u00edfico da pele ou das mucosas genitais. \" data-link=\"https:\/\/wiki.dev.voka.io\/pt\/glossario\/cancro-sifilitico\/\">\u00dalcera vaginal sifil\u00edtica<\/span>: vista durante o exame p\u00e9lvico (esquerda) e parede vaginal lateral (direita): <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\">modelo 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"diagnostico-da-vaginite-sifilitica\"><strong>Diagn\u00f3stico da vaginite sifil\u00edtica<\/strong><\/h2>\n<p>Para confirmar a vaginite sifil\u00edtica, utilizam-se m\u00e9todos diagn\u00f3sticos diretos e indiretos (sorol\u00f3gicos).<\/p>\n<h3 class=\"wp-block-heading\" id=\"1-metodos-diretos-deteccao-do-patogeno\"><strong>1. M\u00e9todos diretos (detec\u00e7\u00e3o do pat\u00f3geno)<\/strong><\/h3>\n<p>Estes m\u00e9todos visam detectar a bact\u00e9ria <em>Treponema pallidum<\/em> em amostras de les\u00f5es:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Microscopia de campo escuro<\/strong> refere-se \u00e0 visualiza\u00e7\u00e3o de treponemas m\u00f3veis na ferida ou no exsudato da eros\u00e3o.<\/li>\n<li><strong>Testes moleculares (PCR)<\/strong> s\u00e3o usados para detectar DNA de <em>T. pallidum<\/em> em tecidos ou secre\u00e7\u00f5es.<\/li>\n<li><strong>Imunohistoqu\u00edmica<\/strong> (utilizada com menor frequ\u00eancia) \u00e9 empregada para detectar treponemas em bi\u00f3psias de mucosa usando anticorpos.<\/li>\n<\/ul>\n<p>M\u00e9todos diretos s\u00e3o mais eficazes nas fases iniciais (s\u00edfilis prim\u00e1ria) quando os testes sorol\u00f3gicos podem ainda ser negativos.<\/p>\n<h3 class=\"wp-block-heading\" id=\"2-diagnostico-sorologico-metodo-principal\"><strong>2. Diagn\u00f3stico sorol\u00f3gico (m\u00e9todo principal)<\/strong><\/h3>\n<p>Para confirmar a s\u00edfilis, \u00e9 <strong>obrigat\u00f3rio o uso de dois tipos de testes<\/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>Tipo de teste<\/strong><\/th>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Exemplos de m\u00e9todos<\/strong><\/th>\n<th><strong>Descri\u00e7\u00e3o<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>N\u00e3o trepon\u00eamicos<\/strong> (triagem)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Laborat\u00f3rio de pesquisa de doen\u00e7as ven\u00e9reas (VDRL), Reagina plasm\u00e1tica r\u00e1pida (RPR), Prova de toluidina vermelha em soro n\u00e3o aquecido (TRUST), Reaginas s\u00e9ricas n\u00e3o aquecidas (USR)<\/td>\n<td>Eles ajudam a detectar anticorpos antilip\u00eddicos, que aparecem 1 a 4 semanas ap\u00f3s a forma\u00e7\u00e3o da ferida. Os resultados podem ser falso-positivos (com doen\u00e7as autoimunes, gravidez, etc.)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>Trepon\u00eamicos<\/strong> (confirmat\u00f3rios)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Ensaio imunoenzim\u00e1tico (ELISA), ensaio de hemaglutina\u00e7\u00e3o para Treponema pallidum (TPHA), imunofluoresc\u00eancia direta (DIF), Immunoblot, imunoensaio quimioluminescente (CLIA) e teste de imobiliza\u00e7\u00e3o de Treponema pallidum (TPI).<\/td>\n<td>Ajudam a detectar anticorpos espec\u00edficos \u00e0 <em>T. pallidum<\/em>. Os resultados permanecem positivos mesmo ap\u00f3s o tratamento<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p><strong>Nota:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Somente a combina\u00e7\u00e3o de dois testes<\/strong> (n\u00e3otrepon\u00eamico + trepon\u00eamico) permite um diagn\u00f3stico preciso.<\/li>\n<li>O uso de <strong>apenas um tipo de teste<\/strong> pode levar a:\n<ul class=\"wp-block-list\">\n<li><strong>Resultados falso-negativos<\/strong> (na fase inicial).<\/li>\n<li><strong>Resultados falso-positivos<\/strong> (devido a rea\u00e7\u00f5es cruzadas ou hist\u00f3rico de s\u00edfilis).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"tratamentoda-vaginite-sifilitica\"><strong>Tratamento<\/strong><strong>da vaginite sifil\u00edtica<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"penicilina-g\"><strong>Penicilina G<\/strong><\/h3>\n<p>A penicilina G parenteral \u00e9 o agente preferido para tratar pacientes em todos os est\u00e1gios da s\u00edfilis. A dose inicial para adultos e adolescentes com s\u00edfilis em est\u00e1gio inicial, segundo as Diretrizes da OMS para o manejo de infec\u00e7\u00f5es sexualmente transmiss\u00edveis (IST), \u00e9 benzilpenicilina benzatina 2,4 milh\u00f5es de unidades administradas por via intramuscular uma vez.<\/p>\n<p>O medicamento, sua dosagem e a dura\u00e7\u00e3o da terapia podem variar conforme o est\u00e1gio da doen\u00e7a e a apresenta\u00e7\u00e3o cl\u00ednica. Para alcan\u00e7ar um efeito terap\u00eautico, \u00e9 necess\u00e1rio garantir um n\u00edvel treponemicida de antimicrobianos no soro.<\/p>\n<p><strong>Caracter\u00edsticas da concentra\u00e7\u00e3o treponemicida:<\/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>Par\u00e2metro<\/strong><\/th>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Valor<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">N\u00edvel m\u00ednimo de treponemicida<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">> 0,018 mg\/L<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Concentra\u00e7\u00e3o eficaz in vitro<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">0,36 mg\/L<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Dura\u00e7\u00e3o recomendada da terapia<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Pelo menos 7 a 10 dias<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p>Um tratamento mais longo \u00e9 necess\u00e1rio para infec\u00e7\u00e3o cr\u00f4nica, especialmente em est\u00e1gios tardios da s\u00edfilis. Isso se deve \u00e0 divis\u00e3o mais lenta dos treponemas, o que reduz a efic\u00e1cia de cursos curtos e aumenta o risco de reca\u00eddas.<\/p>\n<h3 class=\"wp-block-heading\" id=\"alternativas-para-pacientes-com-alergia-a-penicilina\"><strong>Alternativas para pacientes com alergia \u00e0 penicilina<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Dessensibiliza\u00e7\u00e3o \u00e0 penicilina seguida de terapia de primeira linha.<\/li>\n<li>Medica\u00e7\u00f5es alternativas:\n<ul class=\"wp-block-list\">\n<li>Ceftriaxona;<\/li>\n<li>Doxiciclina (oral).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"monitoramento-do-tratamento\"><strong>Monitoramento do tratamento<\/strong><\/h3>\n<p>Para observar a progress\u00e3o da doen\u00e7a e avaliar o efeito do tratamento, s\u00e3o utilizados os testes sorol\u00f3gicos quantitativos VDRL ou RPR. O t\u00edtulo quantitativo deve ser documentado no primeiro dia de tratamento como n\u00edvel de refer\u00eancia.<\/p>\n<p><strong>Cronograma de acompanhamento recomendado:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>1 m\u00eas ap\u00f3s o in\u00edcio da terapia;<\/li>\n<li>3 meses depois;<\/li>\n<li>Em seguida, a cada 6 meses.<\/li>\n<\/ul>\n<p>\u00c9 importante usar o mesmo teste no mesmo laborat\u00f3rio para comparabilidade dos resultados. O acompanhamento deve continuar at\u00e9 que o resultado do teste se torne negativo ou se atinja um t\u00edtulo baixo e est\u00e1vel (1:1 a 1:4 ao longo de 1 ano na aus\u00eancia de risco de reinfec\u00e7\u00e3o).<\/p>\n<p>Pacientes com t\u00edtulos persistentemente altos devem ser monitorados a longo prazo.<\/p>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encontra mais conte\u00fados cientificamente exactos nas nossas redes sociais<\/p>\n<p><span class=\"social-banner-text text-grey\">Subscreve e n\u00e3o percas os recursos mais recentes<\/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=\"tratamento-do-vaginite-sifilitica-na-gravidez\"><strong>Tratamento do vaginite sifil\u00edtica na gravidez<\/strong><\/h3>\n<p>Em mulheres gr\u00e1vidas com s\u00edfilis precoce n\u00e3o tratada, o risco de infec\u00e7\u00e3o fetal intrauterina \u00e9 de 70 a 100%. At\u00e9 um ter\u00e7o dos casos podem resultar em natimorto.<\/p>\n<p>A infec\u00e7\u00e3o fetal ocorre mais frequentemente no final da gravidez (ap\u00f3s 28 semanas). O tratamento antes deste prazo geralmente previne complica\u00e7\u00f5es no feto.<\/p>\n<p>A penicilina G parenteral \u00e9 o \u00fanico medicamento comprovadamente eficaz no tratamento da s\u00edfilis durante a gravidez.<\/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. Como a vaginite sifil\u00edtica difere de outras ISTs?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A vaginite sifil\u00edtica \u00e9 causada pela bact\u00e9ria <em>Treponema pallidum<\/em> e se apresenta com uma \u00falcera indolor (ferida) com base limpa. Ao contr\u00e1rio do herpes, a \u00falcera na s\u00edfilis \u00e9 geralmente \u00fanica, sem inflama\u00e7\u00e3o evidente, e est\u00e1 associada \u00e0 linfadenopatia regional.<\/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. Uma ferida sifil\u00edtica pode causar dor?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Sim, em alguns casos, a ferida pode ser at\u00edpica: m\u00faltipla, dolorosa e profunda. Essas formas s\u00e3o dif\u00edceis de diferenciar de les\u00f5es herp\u00e9ticas, exigindo diagn\u00f3stico laboratorial.<\/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. Por que a combina\u00e7\u00e3o de dois testes sorol\u00f3gicos \u00e9 importante no diagn\u00f3stico?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Testes n\u00e3o trepon\u00eamicos podem resultar em um falso-negativo na fase inicial ou um falso-positivo em outras condi\u00e7\u00f5es (gravidez ou doen\u00e7as autoimunes). Testes trepon\u00eamicos confirmam a presen\u00e7a de anticorpos espec\u00edficos, mas n\u00e3o diferenciam uma infec\u00e7\u00e3o passada da presente. O uso de ambos os testes aumenta a precis\u00e3o diagn\u00f3stica.<\/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. \u00c9 poss\u00edvel tratar a s\u00edfilis durante a gravidez?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Sim, e \u00e9 necess\u00e1rio. A penicilina G \u00e9 o \u00fanico medicamento com efic\u00e1cia comprovada no tratamento da s\u00edfilis durante a gravidez. O tratamento oportuno reduz o risco de infec\u00e7\u00e3o intrauterina e natimorto.<\/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=\"referencias\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Refer\u00eancias<\/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 [VOKA 3D Anatomia & Patologia \u2013 Atlas 3D completo de anatomia e patologia] [Internet]. VOKA 3D Anatomy & Pathology [VOKA 3D Anatomia & Patologia]. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: 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\u00f5es anogenitais m\u00faltiplas e dolorosas s\u00e3o comuns em homens com s\u00edfilis com PCR positivo para Treponema pallidum sem coinfec\u00e7\u00e3o pelo v\u00edrus do herpes simples: um estudo cl\u00ednico transversal]. SexTransm Infect 2016;92:110\u20135. 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, 1964\u20132017 [Testes de detec\u00e7\u00e3o moleculares e diretos para Treponema pallidum, subesp\u00e9cie pallidum: uma revis\u00e3o da literatura, 1664-2017]. Clin Infect Dis 2020;71(Suppl 1):S4\u201312. 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 [Diretrizes laboratoriais para s\u00edfilis: caracter\u00edsticas de desempenho de testes de antibi\u00f3ticos n\u00e3o treopn\u00eamicos]. ClinInfect Dis 2020;71(Suppl 1):S21\u201342. 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 [Sensibilidade e especificidade de testes especificamente trepon\u00eamicos para o diagn\u00f3stico de s\u00edfilis]. Clin Infect Dis 2020;71(Suppl 1):S13\u201320. 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 [Desempenho do exame cl\u00ednico de um teste de antibi\u00f3tico treponemal em um ponto de atendimento r\u00e1pido: uma revis\u00e3o sistem\u00e1tica e metan\u00e1lise]. Clin Infect Dis 2020;71(Suppl 1):S52\u20137. 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 [Uma revis\u00e3o de serologia falso positiva]. Int J STD AIDS 1995;6:241\u20138. 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. Ann Intern Med 1991;114:1005\u20139. 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, New York City, 2005\u20132006 [Algoritmos para exame de s\u00edfilis usando testes trepon\u00eamicos para exame inicial, quatro laborat\u00f3rios, Nova York, 2005-2006]. MMWR Morb Mortal Wkly Rep 2008;57:872\u20135. 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, United States, 2006\u20132010 [Resultados discordantes de exame de s\u00edfilis em sequ\u00eancia reversa, cinco laborat\u00f3rios, Estados Unidos, 2006-2010]. MMWR Morb Mortal Wkly Rep 2011;60:133\u20137. 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 [O algoritmo tradicional ou reverso para diagn\u00f3stico de s\u00edfilis: vantagens e desvantagens]. Clin Infect Dis 2020;71(Suppl 1):S43\u201351. 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 [Uso de da for\u00e7a de sinal de um estudo de teste trepon\u00eamico para evitar testes confirmat\u00f3rios desnecess\u00e1rios]. Sex Transm Dis 2016;43:737\u201340. 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 [Exame de s\u00edfilis por meio do imunensaio trepon\u00eamico: an\u00e1lise de resultados serol\u00f3gicos discordantes e implica\u00e7\u00f5es para o manejo cl\u00ednico]. J Infect Dis 2011;204:1297\u2013304. 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 [An\u00e1lise dos resultados quantitativos de testes bioplex IgG para s\u00edfilis em diferentes popula\u00e7\u00f5es de pacientes]. Clin Vaccine Immunol 2011;18:2005\u20136. 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 [Correla\u00e7\u00e3o da for\u00e7a do sinal do imunoensaio trepon\u00eamico com a reatividade dos testes trepon\u00eamicos confirmat\u00f3rios]. 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 [Avalia\u00e7\u00e3o de um imunoensaio IgM\/IgG sens\u00edvel a enzima e a utilidade de valores indicadores para o exame de incec\u00e7\u00e3o de s\u00edfilis em uma popula\u00e7\u00e3o de alto risco]. Sex Transm Dis 2011;38:528\u201332. 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 [Algoritmo reverso melhorado para exame do anticorpo de Treponema pallidum usando a raz\u00e3o sinal-corte de imunoensaio quimioluluminescente por micropart\u00edculas]. Sex Transm Dis 2014;41:29\u201334. 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 [Exame de anticorpos contra Treponema pallidum com imunoensaio quimioluluminescente por micropart\u00edculas: an\u00e1lise de resultados discordantes de serologia e caracteriza\u00e7\u00e3o cl\u00ednica]. Ann Clin Biochem 2016;53:588\u201392. 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 [Identifica\u00e7\u00e3o de resultados falso positivos de anticorpos para s\u00edfilis usando um algoritmo semiquantitativo]. Clin Vaccine Immunol 2011;18:1038\u201340. 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 [A rea\u00e7\u00e3o Jarisch-Herxheimer ap\u00f3s tratamento antibi\u00f3tico de infec\u00e7\u00f5es por Spirochaetaceae: uma revis\u00e3o de casos reventes e nossa compreens\u00e3o da patog\u00eanese]. Am J Trop Med Hyg 2017;96:46\u201352. 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 [Sete dias de doxiciclina \u00e9 um tratamento eficaz para infec\u00e7\u00e3o assintom\u00e1tica por Chlamydia trachomatis retal]. Int J STD AIDS 2011;22:474\u20137. 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 [Resposta \u00e0 terapia ap\u00f3s retratamento de pacientes com s\u00edfilis precoce serorresistente com penicilina benzatina]. Clin Infect Dis 2013;56:420\u20132. 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 [Um estudo multic\u00eantrico avaliando ceftriaxona e penicilina G benzatina como agentes de tratamento para s\u00edfilis precoce em Jiangsu, China]. Clin Infect Dis 2017;65:1683\u20138. 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 [Doxiciclina comparada \u00e0 penicilina benzatina para o tratamento da s\u00edfilis em est\u00e1gio inicial]. Clin Infect Dis 2006;42:e45\u20139. 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 [Tratamento da s\u00edfilis na gravidez e preven\u00e7\u00e3o da s\u00edfilis cong\u00eanita]. Clin Infect Dis 2002;35(Suppl 2):S200\u20139. 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 [Amoxicilina e ceftriaxona como alternativas de tratamento \u00e0 penicilina para s\u00edfilis materna]. Emerg Infect Dis 2017;23:827\u20139. 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? [Quem precisa de teste de alergia a penicilina?] Ann Allergy Asthma Immunol 2018;121:523\u20139. 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 [Alergia a antibi\u00f3ticos]. Lancet 2019;393:183\u201398. 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>A s\u00edfilis \u00e9 uma doen\u00e7a sist\u00eamica em humanos causada pela bact\u00e9ria Treponema pallidum. A vaginite sifil\u00edtica \u00e9 uma manifesta\u00e7\u00e3o precoce da s\u00edfilis prim\u00e1ria genital. Per\u00edodo de incuba\u00e7\u00e3o: 10 a 90 dias entre a infec\u00e7\u00e3o e o aparecimento da ferida. Apresenta\u00e7\u00e3o cl\u00ednica Durante o exame com esp\u00e9culo p\u00e9lvico, revela-se uma \u00fanica ferida superficial, tipicamente indolor; sua [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"template":"","diseases_category":[297],"class_list":["post-986","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-ginecologicas"],"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 sifil\u00edtica: causas, sintomas, diagn\u00f3stico e tratamento<\/title>\n<meta name=\"description\" content=\"A vaginite sifil\u00edtica \u00e9 uma manifesta\u00e7\u00e3o da sifilis prim\u00e1ria genital precoce em mulheres. 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