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SEXUALLY TRANSIMTTED
DISEASES
By Dr.M.A.Ansari Pharm.D
SYPHILIS
• Syphilis is sexually transmitted disease caused spirochete called
treponema pallidum.
• The organism is very small with a length of 6 to 20 μm and a diameter
range of 18-20 μm.
• World health organisation estimated that more than 90% of the cases
are occurring in developing countries.
• Recently syphilis has re-emerged in several developed countries like
Russia, the united states, Canada, and England due to unsafe sex
practices.
Mode of spread
• Sexual contact- the organism usually enters the body through broken
skin or through the mucous membranes of the mouth, genitalia or
rectum during sexual contact. It can also be transmitted by kissing or
intimate contact with an infected person.
• Non sexual contact- in rare occasions syphilis can be acquired by
accidental inoculation or blood transfusion from an infected person.
The disease can also be transmitted from an infected pregnant female
to the foetus.
PATHOGENESIS
• The incubation period varies from 10-90 days(usually 21 days) before
the manifestation of the initial stages of syphilis. Syphilis is mainly
divided into three stages depending upon the period after which the
lesions appear, these are primary, secondary and tertiary.
• PRIMARY SYPHILIS- the typical lesion of primary syphilis is the
appearance of an ulcer called “chancre” usually associated with
regional lymph node enlargement. The ulcer is usually single, painless,
round and firm. The ulcer can be seen on ano-genital sites or at extra-
genital sites like mouth and lips.
• The chancre lasts 3 to 6 weeks , and it heals without treatment.
However, if adequate treatment is not administered, the infection
progresses to the secondary stage.
• SECONDARY SYPHILIS- this stage of syphilis
usually develops after 2-3 months following primary
syphilis. Secondary syphilis is the result of
inadequately or untreated primary syphilis. The
patients usually develop generalised lymph node
enlargement along with cutaneous lesions and skin
eruptions all over the body. The lesions are symmetric,
pale, red or pink, non pruritic , discrete, round that
measure 5 to 10 mm in diameter and are distributed on
the trunk and proximal extremities. Antibody tests are
always positive at this stage.
• TERTIARY SYPHILIS- this stage of syphilis usually
develops after 2-3 years following secondary syphilis.
The lesions of the tertiary syphilis are less infective
and the organisms can not be detected very easily. The
complications of tertiary syphilis are cardiovascular
syphilis, neuro syphilis etc.
Clinical features are
• Rashes
• Fever
• Swollen lymph nodes
• Sore throat
• Headache
• Weight loss
• Muscle aches
Treponema pallidum image
Rashes in syphilis
Stages of syphilis
Organ involvement in syphilis
ALL THE VERY
BEST TO MY DEAR
STUDENTS

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Syphilis

  • 2. SYPHILIS • Syphilis is sexually transmitted disease caused spirochete called treponema pallidum. • The organism is very small with a length of 6 to 20 μm and a diameter range of 18-20 μm. • World health organisation estimated that more than 90% of the cases are occurring in developing countries. • Recently syphilis has re-emerged in several developed countries like Russia, the united states, Canada, and England due to unsafe sex practices.
  • 3. Mode of spread • Sexual contact- the organism usually enters the body through broken skin or through the mucous membranes of the mouth, genitalia or rectum during sexual contact. It can also be transmitted by kissing or intimate contact with an infected person. • Non sexual contact- in rare occasions syphilis can be acquired by accidental inoculation or blood transfusion from an infected person. The disease can also be transmitted from an infected pregnant female to the foetus.
  • 4. PATHOGENESIS • The incubation period varies from 10-90 days(usually 21 days) before the manifestation of the initial stages of syphilis. Syphilis is mainly divided into three stages depending upon the period after which the lesions appear, these are primary, secondary and tertiary. • PRIMARY SYPHILIS- the typical lesion of primary syphilis is the appearance of an ulcer called “chancre” usually associated with regional lymph node enlargement. The ulcer is usually single, painless, round and firm. The ulcer can be seen on ano-genital sites or at extra- genital sites like mouth and lips. • The chancre lasts 3 to 6 weeks , and it heals without treatment. However, if adequate treatment is not administered, the infection progresses to the secondary stage.
  • 5. • SECONDARY SYPHILIS- this stage of syphilis usually develops after 2-3 months following primary syphilis. Secondary syphilis is the result of inadequately or untreated primary syphilis. The patients usually develop generalised lymph node enlargement along with cutaneous lesions and skin eruptions all over the body. The lesions are symmetric, pale, red or pink, non pruritic , discrete, round that measure 5 to 10 mm in diameter and are distributed on the trunk and proximal extremities. Antibody tests are always positive at this stage.
  • 6. • TERTIARY SYPHILIS- this stage of syphilis usually develops after 2-3 years following secondary syphilis. The lesions of the tertiary syphilis are less infective and the organisms can not be detected very easily. The complications of tertiary syphilis are cardiovascular syphilis, neuro syphilis etc.
  • 7. Clinical features are • Rashes • Fever • Swollen lymph nodes • Sore throat • Headache • Weight loss • Muscle aches
  • 12. ALL THE VERY BEST TO MY DEAR STUDENTS