Syphilis

Syphilis sores

Last Updated December 20th, 2021

Overview of Syphilis

Sexual health is an integral component of life. A number of diseases result from the lack of sexual hygiene. These diseases are prevalent in people having multiple sex partners. The World Health Organisation reports of 2015 suggest that nearly 498 million people were diagnosed with different types of sexual disease. These people mostly belonged to the age group of 15-49. A very common sexually transmitted disease is “Syphilis”. It is widespread among sex workers.

WHO conducted a survey in 34 different countries in the year 2008. They found that over 5% of the sex workers in these countries suffer from this disease. The global statistics by the Center for Disease Control and Prevention has shown that in the year 2012, 6 million new cases of Syphilis were reported.

 

What is Syphilis?

syphillus infectionSyphilis is a type of sexually transmitted disease which is caused by the bacteria Treponema pallidum.

It is passed on from one person to another via sexual activities or through direct contact with the infected lesions of the patient.

The disease is also transmitted from a mother to her child during the breastfeeding period. It is a chronic systemic disease that may affect the central nervous system in the late stages.

 

Why is Syphilis known as the “great imitator”?

Syphilis is often called the “great imitator” since many of its symptoms are similar to the symptoms of other diseases. The Syphilis sore that develops after a primary infection closely resembles a zipper cut, an ingrown hair or some other type of benign lesion. These sores normally do not cause pain. In the second stage, skin rashes appear on the hands, palms, the sole of feet or throughout the body. These rashes may initially resemble chicken pox rashes. They do not cause itching or irritation. In some cases, the disease affects the eyes and cause irritation. This is called ocular syphilis and is confused with normal eye infections. This may even lead to blindness.

 

What causes Syphilis?

The primary causative pathogen of the disease is the Treponema pallidum. The general causes of the disease are as follows-

  • Exposure to the Treponema pallidum during sexual intercourse or through direct contact with the skin lesions
  • Having sex without protective devices
  • Being sexually active from a very young age
  • Sexual relationship with multiple partners
  • Having sex with a partner having some communicable sexual disease like AIDS, Gonorrhoea, Chlamydia etc
  • Sex with a partner of the same gender
  • A history of sexually transmitted diseases
  • Acquiring infection forcefully due to sexual abuse
  • Transmission of the infection from the mother to the child during breastfeeding (vertical transmission)
  • Transmission of the disease from the mother to the foetus in the pre-natal period (trans-placental transmission)
  • Taking blood from a donor who has infections
  • Sharing of needles with an infected person

 

What are the different stages of Syphilis?

Syphilis soresSyphilis slowly progresses through a number of stages. The symptoms become more severe with each stage. These are given below-

Primary stage: This is the first stage of the infection which begins shortly after the incubation period (21 days). Single or multiple lesions called chancres may appear on the skin. These sores facilitate the entry of bacteria into the body. The sores are usually round and do not cause much pain. These rashes usually stay for 3-6 weeks. The infection may progress to the secondary stage if no treatment is done.

Secondary stage: This stage begins shortly after the primary lesions are gone. New sores appear inside the mouth, anus or vagina. These are known as mucous membrane lesions. They may also appear as reddish-brown rough spots on the palms or on the sole of the feet. These sores usually do not cause irritation or itching. With the progress of this stage, additional symptoms like baldness, swollen lymph nodes, sore throat, muscle soreness and fatigue may occur.

Late stage: This stage is also known as the “latent stage”. This is a recurrent form of Syphilis where the symptoms appear several years after the actual infection. The common symptoms are- loss of muscle coordination, numbness, blindness, and memory loss. In the end stage, serious damage to the internal organs (brain, liver, nerves, joints, bones, blood vessels) occurs that can even lead to death.

 

What are the types of Syphilis?

Syphilis normally has the following classification-

  • Primary syphilis: It occurs in the genital regions in majority of the cases. The lesions primarily emerge as light pink papules. Later they grow into dark, reddish, rough lesions. In men, these lesions appear on the urethral meatus, prepuce or balanopreputial fold. In women, these lesions appear on the uterine cervix, vaginal wall and the labia minora.
  • Syphilis genitalsSecondary syphilis: In this case, symmetrical skin lesions usually form. Erythematous spots may appear which is known as “Syphilitic Roseola”. Clusters of papules also form on the face and nose. Many of these patients suffer from Adenomegaly, in which low grade fever, headache, renal disorders, malaise and loss of appetite occurs.
  • Tertiary syphilis: Localised lesions on the skin and mucous membrane appear in this disease. Formation of destructive granuloma also occurs in this case. A single granuloma called “pseudochancre redux” appears on the genitals in men.
  • Cardiovascular syphilis: Symptoms of this disease appear several years after the first occurrence of syphilis. The common complications are- aortitis, aneurysm and coronary osteum stenosis.
  • Neurosyphilis: The meninges (protective membrane of the brain and the spinal cord) is attacked in this case. This causes abnormalities in the cerebrospinal fluid. Neurological symptoms arise in the late stages.
  • Congenital syphilis: In this disease, the infections are present from birth. The new-borns usually acquire these infections from the mother mainly via breast milk.

 

Diagnosis

The following diagnostic tests are important-

  • Genital swab
  • CT scan
  • Pap test

 

Treatment & Prevention

Syphilis can be treated with the help of antibiotics such as penicillin. Just in case the patient is allergic to penicillin, he/she will be treated with doxycycline or azithromycin.  It is important to refrain from sexual activities during the course of the treatment. Both the partners should complete their respective treatment routines to resume sexual activities.

Syphilis can be easily prevented. The most effective preventive measures include:

  • Practice safe sex. Use latex condoms correctly each time you indulge in a sexual intercourse.
  • One must refrain from sharing sex toys.
  • Avoid sharing needles as the disease can spread via infected needles also.
  • Get tested for STIs if your current or previous partner has been diagnosed with an STI.
  • Practice monogamy. Having multiple sexual partners increases the risk of getting an STI.

Facts

  • There are many stories related to the spread of this disease. Many believe that it was brought to Europe by Christopher Columbus in 1493. It is one of the oldest recorded STIs.
  • The other names for syphilis include – “Cupid’s Disease”, “syph”, “The Pox”, “French Disease”, and even “Italian Disease”.

Facts

  • The name of the disease has been derived from the name of a mythical shepherd in a famous Italian poem, Syphilus.
  • Contrary to popular myth, you CANNOT get syphilis by using an infected toilet seat. This is because the microbe cannot survive for long outside the human body.

Facts

  • There were more than 88,000 new cases of syphilis reported in the year 2016. A majority of these were found among homosexual men, bisexual men, and men who had sex with other men.

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Dos and Don'ts

Dos
  • Always get tested for syphilis if your partner has been diagnosed with the same.
  • Get tested for other sexually transmitted infections too if you have been diagnosed with syphilis.
  • Get tested for syphilis if you are pregnant since congenital syphilis is highly fatal to the baby.

 

Don'ts
  • Engage in any form sexual acts until the treatment for syphilis is over. Wait for the antibiotic treatment to end before resuming any sexual activities.
  • Delay the treatment for the infection as it can lead to potentially fatal cardiovascular and neurological conditions.
  • Indulge in alcohol consumption or smoking once you are diagnosed with the infection.

 

 

 

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Tart Cherry: The healthiest excuse for taking that second serving of pie Tart cherry has been traditionally used in delectable desserts such as pies. Recent studies have revealed that its…
Piaget stages: Do they accurately describe the way the human brain develops?  A common assumption was that children are less competent thinkers as compared to adults, but this was refuted…
Balneotherapy jacuzzi
5 things you didn’t know about balneotherapy and how you can do it at home Sauna baths have been popular since a long time. But how much more beneficial can balneotherapy be as…
Chest X-Ray A chest x-ray is a diagnostic test that uses x-rays to visualize the structures inside your chest. It…
valproic acid test
Valproic Acid Test Valproic acid test is performed to generally check for psychiatric and even neurological conditions such as bipolar disease…
PROGESTERONE_test
Progesterone test The progesterone test is a blood test used to determine the level of hormone progesterone in the blood…
sodium blood test
Blood Sodium Test A blood sodium test measures the amount of sodium (an important electrolyte) in your body. It is also…
iron deficiency profile
Iron Deficiency Profile An iron deficiency profile is a battery of blood tests which are performed in order to determine the…
alcohol toxic
7 startling facts that will make you quit alcohol today Does drinking really make you friendly and happy? How many calories does a can of cold beer add…
carrageenan seaweed
Carrageenan: How a simple seaweed extract could better your gut health & immunity Eat more ice cream to prevent cold and flu? –With carrageenan you get one simple seaweed extract that…
lose weight fast
12 easy and instant steps to successful weight loss Do you want to lose weight without losing your mind? Does weight loss always mean saying goodbye to…
aspartame or sugar
Aspartame – Hidden truths about this storm in a teacup Aspartame, the artificial sweetener, has gone under the scanner on several occasions for allegedly doing more harm than…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
Agave nectar: The bitter truth about this sweetener revealed Agave nectar is considered to be sweeter than the normal table sugar and even contains higher amounts of…
Plexus Slim: Is this pink slimming drink the ultimate one-stop fat burner? How effective is Plexus Slim in helping people lose weight? What are its ingredients? Can it be safely…
How to correctly perform nasal irrigation using a Neti Pot? Neti pot has been a part of Ayurveda since centuries. This ancient tool is extremely effective in treating…
What to eat, what not to eat in the South Beach Diet? The South Beach Diet is one among the most popular weight loss programs that have been the talk…
The Cabbage Soup Diet: The healthiest way to instant weight loss Cabbage soup diet rapid weight loss diet for those who want to shed those extra pounds in less…
Top reasons why you need to pay attention to your vitamin B6 intake Vitamin B6- An essential water-soluble vitamin. Its deficiency leads to physical changes such as sores & glossy tongue…
These are the top foods to increase your hemoglobin count It is important to add iron-rich foods into your diet in order to increase hemoglobin. Deficiency of hemoglobin could…
Atkins diet weight loss
Atkins Diet: The right steps to carb control that can help you lose those pounds fast The Atkins diet is a high fat, low-carb diet with proven weight loss benefits that is flexible enough…
myelogram
Myelography Myelography is an important diagnostic tool that is used to investigate and identify abnormalities in the spine and…
phenytoin test
Phenytoin test Phenytoin is a drug that is administered mainly to epilepsy patients. The phenytoin blood test measures the level…
antihepatitis core antigent
Anti-Hepatitis B Core Antigen (AHBc) Total Anti-hepatitis B core antigen (AHBC ) is a blood examination and the only serological marker of infectious blood…
acne removal tips
Anatomy of acne: 7 instant steps to kiss those zits goodbye Blackheads, whiteheads, or pimples-call them what you may. Acne is never good news.Did you know some of the…
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…