1937
DOI: 10.1001/archderm.1937.01470240093008
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Rapidity With Which Spirochaeta Pallida Invades the Blood Stream

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Cited by 51 publications
(29 citation statements)
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“…Infection with T. pallidum typically manifests as a painless chancre at the site of infection approximately 3 weeks after pathogen exposure (6). Multiple studies have demonstrated that the pathogen is capable of invading tissue barriers and undergoing rapid widespread dissemination via the circulatory system (7)(8)(9)(10). The highly invasive nature of T. pallidum is further highlighted by its ability to traverse the placental barrier to cause congenital syphilis and the blood-brain barrier to invade the central nervous system (9) and by the diverse and widespread clinical manifestations associated with secondary and tertiary syphilis (6).…”
mentioning
confidence: 99%
“…Infection with T. pallidum typically manifests as a painless chancre at the site of infection approximately 3 weeks after pathogen exposure (6). Multiple studies have demonstrated that the pathogen is capable of invading tissue barriers and undergoing rapid widespread dissemination via the circulatory system (7)(8)(9)(10). The highly invasive nature of T. pallidum is further highlighted by its ability to traverse the placental barrier to cause congenital syphilis and the blood-brain barrier to invade the central nervous system (9) and by the diverse and widespread clinical manifestations associated with secondary and tertiary syphilis (6).…”
mentioning
confidence: 99%
“…The bacterium gains entry to the host through intact mucosal barriers or microscopic epidermal abrasions (42). The organism is highly invasive, with in vitro studies showing that T. pallidum is able to penetrate endothelial cell monolayers to enter the bloodstream (45,50) within hours of infection (13,43). Treponemal invasion results in widespread bacterial dissemination, which, in turn, sets the stage for establishment of chronic infection.…”
mentioning
confidence: 99%
“…The pathogen has limited toxigenic properties, and tissue destruction associated with the disease appears to be due to the strong inflammatory response mounted by the host following infection (64). The organism is highly invasive; treponemes disseminate widely within hours of infection in experimental animals (11,59), and in vitro studies have shown that T. pallidum is able to penetrate intact membranes and endothelial cell monolayers (62,69). Treponemal invasion results in widespread bacterial dissemination, which in turn sets the stage for establishment of chronic infection.…”
mentioning
confidence: 99%