Treatment FAQ

okay, so my lab work says im positive for syphilis. where do i get treatment?

by Dustin Hand Published 3 years ago Updated 2 years ago

Symptoms

Jul 31, 2015 · Syphilis and Syphilis Testing. Syphilis is a highly contagious bacterial infection caused by the bacteria Treponema pallidum and spread through sexual contact, including oral, vaginal, and anal sex. Congenital syphilis is the name given to syphilis that is spread from a mother who has the disease to her baby during childbirth, which can cause severe …

Causes

If your follow-up test confirms you have syphilis, you will probably be treated with penicillin, a type of antibiotic. Antibiotic treatment completely cures most early-stage syphilis infections. Later-stage syphilis is also treated with antibiotics, but this treatment can't undo any damage that the syphilis caused.

Prevention

Apr 04, 2022 · Treatment reaction: You may have a reaction within the first day after treatment. Symptoms include a fever, chills, nausea, rash, and a headache. This happens as the antibiotic starts to kill the bacteria that caused your syphilis. These symptoms usually get better in 1 or 2 days. Drink plenty of liquids and rest during this time.

Complications

Apr 29, 2012 · The titers refer to how many times you can dilute the sample and still get a positive result. So if you have lots of antibody you can water it down alot and it will still show up positive.

What do you do if you test positive for syphilis?

If you are positive for syphilis, you should visit with your doctor or health care provider to discuss treatment of you and your sexual partners as well as additional testing you may need. How Do I Find a Doctor? Many different types of health care providers offer treatment for syphilis.

Who gives treatment for syphilis?

Your nurse or doctor will prescribe antibiotics to treat the infection — usually penicillin, unless you're allergic or can't take it for other reasons. If you're having syphilis treatment, it's really important for your sexual partners to get treated also.

Why do I keep testing positive for syphilis?

The most common reason for a false-positive is that a person produces antibodies that "fool" the syphilis test. This may occur because the antibodies are similar to the syphilis antibody or because they interfere with chemical reactions needed to perform the test for syphilis.

What are the treatment options for syphilis?

A single injection of long-acting Benzathine penicillin G can cure the early stages of syphilis. This includes primary, secondary, or early latent syphilis. CDC recommends three doses of long-acting Benzathine penicillin G at weekly intervals for late latent syphilis or latent syphilis of unknown duration.

How long does syphilis treatment take to work?

More serious cases that affect the brain are usually treated with daily penicillin injections given into your buttocks or a vein for 2 weeks, or a 28 day course of antibiotic tablets if you can't have penicillin. Follow-up blood tests will be recommended once treatment finishes to check that it has worked.

Will you always test positive for syphilis after treatment?

A person can still test positive for treponemal antibodies after completing syphilis treatment. This means that treponemal antibody tests cannot distinguish between a current and a past syphilis infection.Nov 9, 2021

Can you get a false-positive for syphilis?

The chance of a false-positive syphilis test is about 1% to 2%. “False positive” means the test is positive but the patient, in reality, does not have syphilis. In the table below are the most important conditions that can cause a false-positive test (both treponemal and nontreponemal tests):

Can you test positive for syphilis and not have it?

False-positive nontreponemal test results can be associated with various medical conditions unrelated to syphilis, including autoimmune disorders, older age, and injection drug use. Screening tests, such as the VDRL and RPR, are relatively simple to perform and provide rapid results.

Can syphilis be misdiagnosed?

Rates of syphilis and other sexually transmitted infections are on the rise in the United States. The lesions of early syphilis can be mistaken for those of other infections and conditions, and syphilis should be suspected in all sexually active patients presenting with a new skin rash or an oral or genital lesion.May 1, 2019

How long does penicillin shot take to work?

Penicillin shot can clear infection in 8 hours, but its painful and expensive.May 12, 2014

How effective is penicillin for syphilis?

Data on the treatment of early syphilis support the use of a single intramuscular injection of 2.4 million U of benzathine penicillin G, with studies reporting 90% to 100% treatment success rates.

How do you give a penicillin shot for syphilis?

Long-acting penicillin G benzathine (Bicillin® L-A) is the preferred antibiotic treatment for syphilis. Each dose requires two intramuscular injections, one injection into each hip or buttock muscle at the same visit. One dose of Bicillin® L-A 2.4 million units is usually adequate to treat early syphilis.

Nontreponemal Tests and Traditional Algorithm

Treponemal Tests and Reverse Sequence Algorithm

Symptoms
If you or someone you know is exhibiting symptoms of Syphilis, seek medical attention immediately.

Symptoms vary as the disease progresses.

Primary stage

  • Enlarged lymph nodes near the groin
  • Small, painless sores on the skin anywhere on the body, including inside the rectum and vagina

Secondary stage

  • Small, reddish-brown sores on the skin
  • sores in the mouth, vagina, or anus
  • Fever
  • Swollen lymph glands
  • Weight loss
  • Hair loss
  • Headache and muscle aches
  • Extreme tiredness

Latent stage: No symptoms are noted for many years. But the person is highly contagious and progressing to the next stage

Tertiary stage

  • Permanent organ damage
  • Death

Causes

  • Syphilis is caused by the bacteria Treponema pallidum. Infection can be due to:
  • Direct contact with an infected person’s sores during sexual activity
  • Direct contact with the sores by kissing
  • Cuts, abrasions, or wounds exposed to infected sores
  • Infected mother to unborn child during pregnancy or childbirth
  • The risk factors include:
  • Unprotected sex
  • Multiple sex partners
  • HIV infection
  • Man who has sex with men

Prevention

  • Avoid sexual contact with infected persons
  • Use a dental dam or condom in every sexual encounter
  • Avoid multiple sexual partners
  • Avoid sharing needles

Complications

Complications are noted in the tertiary stage and include:

  • Brain or neurological problems
  • Stroke
  • Infection and inflammation of membranes covering the brain and spinal cord
  • Numbness
  • Deafness
  • Visual problems or blindness
  • Changes in personality
  • Dementia
  • Diseases of the valves of heart
  • Aneurysm
  • Inflammation of blood vessels
  • Paralysis
  • Increased risk of HIV infection
  • Still birth or death of infant a few days after birth in case of congenital syphilis

Cerebrospinal Fluid Evaluation

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