{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T19:57:38Z","timestamp":1785700658528,"version":"3.56.0"},"reference-count":6,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"abstract":"<jats:p>\n                    Cases of syphilis are increasing worldwide. Missed diagnosis of syphilis can have serious consequences, particularly in pregnancy. In areas where yaws, a non-sexually transmitted infection due to\n                    <jats:italic toggle=\"yes\">Treponema pallidum<\/jats:italic>\n                    sub-species pertenue (\n                    <jats:italic toggle=\"yes\">T. pertenue<\/jats:italic>\n                    ) is endemic, the interpretation of syphilis serology is complex. In Vanuatu, where infection with yaws is prevalent, patients may have positive treponemal serology because of the latter in childhood. We present a case of secondary syphilis with an atypical rash in a post-partum woman in Vanuatu.\n                  <\/jats:p>","DOI":"10.1177\/00494755261472180","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T14:26:32Z","timestamp":1785507992000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Challenges diagnosing syphilis in antenatal pacific islanders: A case of secondary syphilis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5856-2733","authenticated-orcid":false,"given":"David","family":"Fegan","sequence":"first","affiliation":[{"name":"Vila Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damatalau","family":"Boniface","sequence":"additional","affiliation":[{"name":"Vila Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glennon","family":"Mary","sequence":"additional","affiliation":[{"name":"Vila Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Kevin","sequence":"additional","affiliation":[{"name":"Vila Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"World Health Organization website. Syphilis. Accessed May 7 2025."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2202762"},{"key":"e_1_3_2_4_2","article-title":"Congenital syphilis diagnosed beyond the neonatal period in the United States: 2014-2018","volume":"148","author":"Kimball A","year":"2021","unstructured":"Kimball A, Bowen VB, Miele K, et al. Congenital syphilis diagnosed beyond the neonatal period in the United States: 2014-2018. Am Acad Paediatr 2021; 148: e2020049080.","journal-title":"Am Acad Paediatr"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1258\/td.2009.090249"},{"key":"e_1_3_2_6_2","first-page":"52","article-title":"Yaws in the Solomon Islands","volume":"93","author":"Fegan D","year":"1990","unstructured":"Fegan D, Glennon M, Macbride-Stewart G, et al. Yaws in the Solomon Islands. J Trop Med Hyg 1990; 93: 52\u201357.","journal-title":"J Trop Med Hyg"},{"key":"e_1_3_2_7_2","volume-title":"Manson\u2019s tropical diseases 24th edition","author":"Farrar J","year":"2024","unstructured":"Farrar J, Hotez P, Junghanss T, et al. Manson\u2019s tropical diseases 24th edition. Elsevier, 2024."}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261472180","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755261472180","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261472180","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T19:43:31Z","timestamp":1785699811000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755261472180"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":6,"alternative-id":["10.1177\/00494755261472180"],"URL":"https:\/\/doi.org\/10.1177\/00494755261472180","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,31]]},"article-number":"00494755261472180"}}