Early syphilis associated with erythema migrans
Bibliographic record
Abstract
Introduction: False-positive treponemal tests can be obtained in patients with Lyme disease, but the coincidence of two spirochetal infections -early syphilis and Lyme disease -should also be considered.Objective: Our case illustrates that even though Lyme disease and early syphilis are frequent, their coincidence is extremely rare.Case report: A 27-year-old man presented with generalized erythematous rash typical of secondary syphilis, concomitant with erythema migrans.The diagnosis of early syphilis was confirmed on the basis of positive serological tests.Treatment with doxycycline 200 mg daily for 14 days was applied.Conclusions: Treponema pallidum and Borrelia burgdorferi, both members of the Spirochaetaceae family, are causative agents in the etiopathogenesis of syphilis and Lyme disease, respectively, with increasing rates of both infections seen in recent years.Nevertheless, the possibility of false-positive treponemal tests during Lyme infection should also be considered to avoid misdiagnosis and inappropriate treatment.Key words: syphilis,
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.009 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".