Syphilis
Private MD Lab Services offers
a single test to help diagnose syphilis: Syphilis Test.
What is syphilis?
Syphilis is a serious bacterial infection. It is
usually passed from one person to another by sexual contact. If it is not
treated, syphilis can lead to permanent brain, nerve, and tissue damage.
How does it occur?
The bacteria that cause syphilis enter the body
through an opening such as the vagina, mouth, or rectum. They can also
enter through a cut or break in the skin.
During the early stages of syphilis, sores form
on the body, usually near the genitals. If you touch a sore on an infected
person, some of the bacteria will probably rub off onto your body. If the
bacteria then get near any moist area of your body (such as the vagina,
mouth, or rectum) or on any cuts or breaks in your skin, you may get syphilis.
Once inside the body, the bacteria spread quickly through the bloodstream.
Sometimes a baby is born with syphilis if the mother
has the disease during pregnancy.
What are the symptoms?
The symptoms of syphilis vary according to the
stage of the disease. During the first stage, smooth, red, painless sores
called chancres appear. People usually get chancres near the genitals,
but they can form anywhere on the body. Women may not know they have a
chancre if it is inside the vagina. Chancres on the penis can usually be
seen. These painless sores may appear 10 days to 3 months after contact
with an infected person. The sores last 3 to 6 weeks.
If you are infected with syphilis and you do not
get treatment, the disease will develop into the second stage. This second
stage is called secondary syphilis. It begins 6 to 12 weeks after contact
with an infected person and may last for weeks to as long as a year. Symptoms
during the second stage of syphilis can include:
- A pink or red, bumpy, scaling skin rash
that does not itch and may come and go (you can easily infect other people
with this rash, which may include spots on the palms of the hands and
soles of the feet)
- Brown sores about the size of a penny
- Swollen lymph nodes ("glands")
- Flu symptoms such as fever, body aches,
sore throat, headaches, tiredness, and loss of appetite
- Hair loss in clumps causing patchy baldness
- Gray or pink patches of fatty tissue in
damp areas of the body (also highly infectious)
- Wartlike growths in the anal area.
The rash in the second stage usually heals within
several weeks or months. Often the second stage of syphilis is followed
by a latent period. During latent syphilis you have no symptoms even though
you have not been treated for the disease. This latent period may last
a few years or it may last a lifetime.
One in three people who have latent syphilis develop
the third stage of syphilis. This third stage is called tertiary syphilis
and starts anywhere from 2 to 30 or more years after the second stage.
During this stage, the disease can affect the brain, the aorta (the blood
vessel that leads from the heart), and the heart. This can lead to severe
heart disease, brain damage, paralysis, and death.
How is it diagnosed?
Your health care provider will ask about your symptoms
and examine you. Your provider will look for chancres on your skin and
in your vagina, cervix, and anal area. If you have sores, scrapings from
the sores will be examined under a microscope to look for bacteria. Your
provider may also test a sample of your blood.
How is it treated?
Syphilis is usually treated with shots or oral
doses of penicillin. If you are allergic to penicillin, your health care
provider may prescribe other antibiotics. Because these medicines may not
be as effective as penicillin, you will need to be rechecked after treatment.
Cases of syphilis are required by law to be reported
to the local health department. You must tell the proper authorities about
all the people with whom you have had sexual contact, so they can be protected
against the effects of syphilis.
How long will the effects last?
The symptoms and effects of syphilis can last from
a week to a lifetime. If syphilis is treated with antibiotics during an
early stage, the symptoms disappear after several weeks and the disease
is cured. If the infection is not treated but becomes latent after the
first or second stage, you will not have any symptoms but you will be at
risk of developing secondary or tertiary syphilis. During the tertiary
stage of syphilis, antibiotics can still be used to kill the bacteria causing
the infection. However, any damage already done to the blood vessels, brain,
and other organs will remain.
How can I take care of myself?
- Follow your health care provider's instructions
and take all of your medicine as prescribed. Be sure to tell your provider
if you are allergic to penicillin or other medicines.
- Ask your provider if you need to be tested
for other sexually transmitted diseases.
What can be done to help prevent syphilis?
If you have syphilis, you can help prevent spread
of the infection if you:
- Tell everyone with whom you have had sex
in the last 3 months about your infection. They must also be treated,
even if they have no symptoms. Do not have sex before both you and your
partner have finished all the medicine and your provider says it is OK.
- Do not expose other people to your body
fluids and open sores. Do not have sexual intercourse or other intimate
physical contact with anyone until you have been treated.
- Wash your hands after you use the toilet
and before you touch any food, dishes, or utensils.
Even if you don't have symptoms but have had unprotected
sex (without a condom), see your health care provider to be checked for
sexually transmitted diseases.
You can reduce your risk of getting syphilis from
someone else if you:
- Use latex or polyurethane condoms every
time you have sex.
- Have just 1 sexual partner who is not sexually
active with anyone else. Make sure your partner has been tested for syphilis
and other sexually transmitted diseases.
Related Topics: Epididymitis, Genital Herpes, Gonorrhea and Chlamydia, Hepatitis B, Hepatitis C, HIV, HIV-2, HIV Recent Exposure, HIV-2 Recent Exposure, STD Testing, STD Testing for Recent Exposure, Urethritis, Vaginitis, Viral Hepatitis.
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