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November 1992

Syphillis — Ford County, Kansas, 1992

Arch Dermatol. 1992;128(11):1449. doi:10.1001/archderm.1992.01680210025001

In January 1992, the Ford County (Kansas) Health Department received a report of a pregnant woman with a positive serologic test for syphillis. Syphillis had not been reported in the county (1990 population: 27,463) since September 1989. As a result of the investigation summarized in this report, six additional persons with syphillis were identified by contact tracing.

Patients ranged in age from 15 to 21 years (median: 16 years); five were female, including two who were pregnant. All were residents of Ford County. All patients had positive serologic tests (i.e., Veneral Disease Research Laboratory/rapid plasma reagin and fluorescent treponemal antibody tests) for syphillis. Two patients were symptomatic; both had a rash consistent with secondary syphillis. Early latent syphillis was diagnosed in the other patients. Three patients were tested for human immunodeficiency virus; all were negative.

Two of the patients were in drug-abuse rehabilitation; these two were the only patients who

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