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Near-Universal Resistance to Macrolides of Treponema pallidum in North America

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Of 604 Treponema pallidum (syphilis) strains sampled from 13 U.S. states, Washington, D.C., and two Canadian provinces from 2017 through 2023, a total of 599 (99.2%) had genotypic resistance to azithromycin.

​   The New England Journal of Medicine: Search Results in Infectious Disease

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