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THE FACTS ABOUT SYPHILIS

What is syphilis?
Treponema pallidum is a centuries-old, highly infectious bacterium that causes syphilis.

How many people have syphilis?
The numbers of people reported with syphilis in the U.S. decreased dramatically between the mid-1940s and 2000 (falling from almost 100,000 yearly cases of primary and secondary syphilis to less than 6,000); numbers of reported cases have risen slightly since then. People in correctional institutions, people living in southern states, men and African Americans are disproportionately affected.

How does someone get syphilis?
Syphilis transmission usually occurs during vaginal, anal or oral sex when syphilitic sores or patches come into contact with slightly broken skin or mucous membranes. Women who catch syphilis within a few years before they get pregnant and who fail to get treated often (70 percent) pass syphilis on to their infants. Forty percent of women who acquire syphilis during pregnancy and who go without treatment will lose the child.

What are the symptoms?
Syphilis has been called “The Great Imitator” because so many of the signs and symptoms resemble other diseases. The primary stage of syphilis is usually marked by the appearance of a single sore (chancre), although multiple sores may develop. The chancre is usually firm, round and painless and appears about three weeks after exposure at the spot where the syphilis bacteria entered the body. Left untreated, the chancre heals in 3-6 weeks, but the infection may progress to the secondary stage of syphilis.

The secondary stage starts when one or more areas of the skin break into an itch-less rash. Additional symptoms of secondary syphilis may include fever, swollen lymph glands, sore throat, patchy hair loss, headaches, weight loss, muscle aches and fatigue.

Tertiary symptoms include incoordination, paralysis, numbness, gradual blindness and severe confusion.

How does someone find out s(he) has syphilis?
Primary and secondary syphilis are generally diagnosed with a blood test. The diagnosis of tertiary syphilis usually requires a test on cerebrospinal fluid (ie, fluid that normally surrounds the brain and spinal cord).

How is syphilis treated?
There are no home remedies or over-the-counter treatments for syphilis; however, a single dose of an antibiotic (usually penicillin) can cure a person who has been infected for less than a year. Larger doses are needed to cure someone who has had it for more than a year. While antibiotics are extremely effective at killing the syphilis bacterium, they will not repair or reverse the damage already caused by the disease.

What are some of the long-term effects of syphilis?
Left untreated, secondary syphilis may develop into the tertiary stage resulting in damage to internal organs, including the brain, nerves, eyes, heart, blood vessels, liver, bones and joints. The damage can be serious enough to cause death.

How can teens avoid getting syphilis?
Because most infected individuals are unaware that they have syphilis, having a sexual partner who has no symptoms offers no guarantee.

Abstinence from sexual activity - including oral sex - or lifetime faithfulness to one uninfected partner is the only certain way for your teen to avoid being infected sexually. If your teen has already been sexually active, he or she needs to be tested for STDs.


Learn about other common STDs...

  Chlamydia

Gonorrhea

Hepatitis B

Hepatitis C

 

Herpes

HIV and AIDS

Human Papilloma Virus (HPV)

Trichomonas



Information adapted from The Medical Institute for Sexual Health web site.
www.medinstitute.org