What is Syphilis

Syphilis is a sexually transmitted infection (STI) caused by the bacterium Treponema pallidum. It progresses through different stages: primary, secondary, latent, and tertiary.

Common Clinical Presentation

  • Primary Stage: A single sore (chancre) or multiple sores at the infection site, usually firm, round, and painless.

  • Primary Stage: Sores appear 3 weeks after exposure and heal without treatment in 3-6 weeks.

  • Secondary Stage: Skin rashes, often on the palms of the hands and soles of the feet.

  • Secondary Stage: Mucous membrane lesions in the mouth, vagina, or anus.

  • Secondary Stage: Fever, swollen lymph nodes, sore throat, hair loss, muscle aches, and fatigue.

  • Latent Stage: No symptoms, but the infection remains in the body.

  • Tertiary Stage: Severe medical problems affecting the heart, brain, and other organs.

  • Tertiary Stage: Can occur years after the initial infection if left untreated.

Antibiotics

Treated with penicillin, usually via injection. Alternatives are available for those allergic to penicillin.

Follow-up

Regular blood tests to ensure the infection is completely eradicated.

Partner Treatment

Sexual partners should also be tested and treated to prevent reinfection.

Condoms

Use condoms consistently and correctly during sexual activity.

Regular Screening

Regular STI screenings, especially if sexually active with multiple partners.

Avoid Sharing

Do not share needles or other drug-injection equipment.

You should know

Early detection and treatment are crucial to prevent serious complications. Seek medical care if symptoms or exposure are suspected.

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