Evidence map›Paper›PMID 42430111›Full record

ArticleInfection2026

Syphilis and neurosyphilis in people living with HIV: analysis of cerebrospinal fluid findings.

Tobias Weirauch, Sarah Plano, Markus Bickel, Pavel Khaykin, Anette Haberl, Gundolf Schüttfort, Timo Wolf, Benjamin Marx, Silke Besier, Thomas A Wichelhaus and 1 more

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Article in Infection, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Tobias WeirauchDepartment of Internal Medicine, Goethe University Frankfurt, University Hospital, Infectious Diseases, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main, Germany. weirauch@med.uni-frankfurt.de.
Sarah PlanoDepartment of Internal Medicine, Goethe University Frankfurt, University Hospital, Infectious Diseases, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main, Germany.
Markus BickelDepartment of Internal Medicine, Goethe University Frankfurt, University Hospital, Infectious Diseases, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main, Germany.
Pavel KhaykinDepartment of Internal Medicine, Goethe University Frankfurt, University Hospital, Infectious Diseases, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main, Germany.
Anette HaberlDepartment of Internal Medicine, Goethe University Frankfurt, University Hospital, Infectious Diseases, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main, Germany.
Gundolf SchüttfortDepartment of Internal Medicine, Goethe University Frankfurt, University Hospital, Infectious Diseases, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main, Germany.
Timo WolfDepartment of Internal Medicine, Goethe University Frankfurt, University Hospital, Infectious Diseases, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main, Germany.
Benjamin MarxInstitute of Medical Virology, Goethe University, University Hospital Frankfurt, Frankfurt Am Main, Germany.
Silke BesierInstitute of Medical Microbiology and Infection Control, Goethe University, University Hospital, Frankfurt, Frankfurt Am Main, Germany.
Thomas A WichelhausInstitute of Medical Microbiology and Infection Control, Goethe University, University Hospital, Frankfurt, Frankfurt Am Main, Germany.
Christoph StephanDepartment of Internal Medicine, Goethe University Frankfurt, University Hospital, Infectious Diseases, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSyphilis and neurosyphilis remain significant comorbidities among people living with human immunodeficiency virus (HIV). Data on cerebrospinal fluid (CSF) findings in co-infected individuals are limited. This study aimed to determine which CSF parameters and HIV-related immunologic and virologic markers are associated with neurosyphilis in people living with HIV (PLWH), and to assess the impact of antiretroviral therapy (ART) on these relationships.

methodsWe conducted a retrospective analysis of 211 people living with HIV undergoing syphilis serology and CSF testing at a tertiary care center between 2011 and 2017. Patients were stratified by syphilis stage and ART status. CSF parameters, CD4

resultsNeurosyphilis was diagnosed in 10% (n = 21) of the study population. Treponema pallidum particle agglutination (TPPA) titers ≥ 1024 in CSF were significantly associated with neurosyphilis (p = 0.001). No significant association was observed between neurosyphilis and CD4

conclusionsHigh CSF TPPA titers, particularly ≥ 1024, are strong indicators of neurosyphilis among PLWH. CD4

Indexed as

Antiretroviral therapyCerebrospinal fluidHIVNeurosyphilisTPPA

Identifiers

PMID42430111

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.