Van Damme K, Behets F, Ravelomanana N, Godornes C, Khan M, Randrianasolo B, Rabenja NL, Lukehart S, Cohen M, Hook E
Evaluation of azithromycin resistance in Treponema pallidum specimens from Madagascar. [Journal Article, Research Support, N.I.H., Extramural]
Sex Transm Dis 2009 Dec; 36(12):775-6.
Treponema pallidum resistance to azithromycin has been documented in the US, Canada, and Ireland. We found no evidence of resistance to azithromycin in specimens from 141 patients with syphilitic lesions in Madagascar suggesting resistance is geographically isolated and supporting use of azithromycin as alternative treatment for early syphilis in Madagascar.
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