Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum. It has four stages - primary, secondary, latent, and tertiary. It is most commonly spread through sexual activity but can also be transmitted from mother to baby. Diagnosis involves blood tests and microscopy. While treatable with antibiotics, syphilis remains a global health problem.
Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum subspecies pallidum. The signs and symptoms of syphilis vary depending in which of the four stages it presents (primary, secondary, latent, and tertiary).
Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum subspecies pallidum. The signs and symptoms of syphilis vary depending in which of the four stages it presents (primary, secondary, latent, and tertiary).
Leishmaniasis is caused by a protozoa parasite from over 20 Leishmania species. Over 90 sandfly species are known to transmit Leishmania parasites. There are 3 main forms of the disease:
Visceral leishmaniasis (VL), also known as kala-azar is fatal if left untreated in over 95% of cases. It is characterized by irregular bouts of fever, weight loss, enlargement of the spleen and liver, and anaemia. Most cases occur in Brazil, East Africa and in South-East Asia. An estimated 50 000 to 90 000 new cases of VL occur worldwide each year out of which only an estimated 25–45% are reported to WHO. In 2017, more than 95% of new cases reported to WHO occurred in 10 countries: Bangladesh, Brazil, China, Ethiopia, India, Kenya, Nepal, Somalia, South Sudan and Sudan.
Cutaneous leishmaniasis (CL) is the most common form of leishmaniasis and causes skin lesions, mainly ulcers, on exposed parts of the body, leaving life-long scars and serious disability or stigma. About 95% of CL cases occur in the Americas, the Mediterranean basin, the Middle East and Central Asia. In 2017 over 95% of new CL cases occurred in 6 countries: Afghanistan, Algeria, Brazil, Colombia, Iran (Islamic Republic of), Iraq and the Syrian Arab Republic. It is estimated that between 600 000 to 1 million new cases occur worldwide annually.
Mucocutaneous leishmaniasis leads to partial or total destruction of mucous membranes of the nose, mouth and throat. Over 90% of mucocutaneous leishmaniasis cases occur in Bolivia (the Plurinational State of), Brazil, Ethiopia and Peru.
Transmission
Leishmania parasites are transmitted through the bites of infected female phlebotomine sandflies, which feed on blood to produce eggs. The epidemiology of leishmaniasis depends on the characteristics of the parasite and sandfly species, the local ecological characteristics of the transmission sites, current and past exposure of the human population to the parasite, and human behaviour. Some 70 animal species, including humans, have been found as natural reservoir hosts of Leishmania parasites.
(WHO, 2019)
https://www.who.int/news-room/fact-sheets/detail/leishmaniasis
Syphilis is a sexually transmitted disease (STD) caused by an infection with spirochete
bacteria known as Treponema pallidum.
Like other STDs, syphilis can be spread by any type of sexual contact. Syphilis can also be
spread from an infected mother to the fetus during pregnancy or to the baby at the time of
birth.
The signs and symptoms of syphilis vary depending in which of the four stages it presents
(primary, secondary, latent, and tertiary)
By the end of this presentation we’ll be able to learn about- -Geographical distribution of leishmania parasites- Know the different stages of leishmania parasites and their morphology.-Describe the lifecycle of leishmania.-Causes and pathogenesis of leishmania -Preventive measures of leishmaniasis
This PowerPoint presentation was compiled and prepared by Platon S. Plakar, Jr a student majoring in Physician Assistant at Cuttington University. This presentation provides a brief understanding of Syphilis, an infectious disease condition that affects people exposed to sexual contact.
Leishmaniasis is caused by a protozoa parasite from over 20 Leishmania species. Over 90 sandfly species are known to transmit Leishmania parasites. There are 3 main forms of the disease:
Visceral leishmaniasis (VL), also known as kala-azar is fatal if left untreated in over 95% of cases. It is characterized by irregular bouts of fever, weight loss, enlargement of the spleen and liver, and anaemia. Most cases occur in Brazil, East Africa and in South-East Asia. An estimated 50 000 to 90 000 new cases of VL occur worldwide each year out of which only an estimated 25–45% are reported to WHO. In 2017, more than 95% of new cases reported to WHO occurred in 10 countries: Bangladesh, Brazil, China, Ethiopia, India, Kenya, Nepal, Somalia, South Sudan and Sudan.
Cutaneous leishmaniasis (CL) is the most common form of leishmaniasis and causes skin lesions, mainly ulcers, on exposed parts of the body, leaving life-long scars and serious disability or stigma. About 95% of CL cases occur in the Americas, the Mediterranean basin, the Middle East and Central Asia. In 2017 over 95% of new CL cases occurred in 6 countries: Afghanistan, Algeria, Brazil, Colombia, Iran (Islamic Republic of), Iraq and the Syrian Arab Republic. It is estimated that between 600 000 to 1 million new cases occur worldwide annually.
Mucocutaneous leishmaniasis leads to partial or total destruction of mucous membranes of the nose, mouth and throat. Over 90% of mucocutaneous leishmaniasis cases occur in Bolivia (the Plurinational State of), Brazil, Ethiopia and Peru.
Transmission
Leishmania parasites are transmitted through the bites of infected female phlebotomine sandflies, which feed on blood to produce eggs. The epidemiology of leishmaniasis depends on the characteristics of the parasite and sandfly species, the local ecological characteristics of the transmission sites, current and past exposure of the human population to the parasite, and human behaviour. Some 70 animal species, including humans, have been found as natural reservoir hosts of Leishmania parasites.
(WHO, 2019)
https://www.who.int/news-room/fact-sheets/detail/leishmaniasis
Syphilis is a sexually transmitted disease (STD) caused by an infection with spirochete
bacteria known as Treponema pallidum.
Like other STDs, syphilis can be spread by any type of sexual contact. Syphilis can also be
spread from an infected mother to the fetus during pregnancy or to the baby at the time of
birth.
The signs and symptoms of syphilis vary depending in which of the four stages it presents
(primary, secondary, latent, and tertiary)
By the end of this presentation we’ll be able to learn about- -Geographical distribution of leishmania parasites- Know the different stages of leishmania parasites and their morphology.-Describe the lifecycle of leishmania.-Causes and pathogenesis of leishmania -Preventive measures of leishmaniasis
This PowerPoint presentation was compiled and prepared by Platon S. Plakar, Jr a student majoring in Physician Assistant at Cuttington University. This presentation provides a brief understanding of Syphilis, an infectious disease condition that affects people exposed to sexual contact.
Treponema is a genus of spiral-shaped bacteria. The major treponeme species of human pathogens is Treponema pallidum, whose subspecies are responsible for diseases such as syphilis, bejel, and yaws.
Oral manifestations of sexually transmitted diseases/ dental coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This pptx covers the basics of almost all stds.Use this and for sure you'll get a good score.
It is taken from very hugh yield and authenic sources.
The animations Adds further beauty to the presentation.
The animations itself are self explanatory just download and deliver you'll be very much appreciated for it no need to add further the pptx is well comprehensive.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
2. • Syphilis is a sexually transmitted infection caused by
the bacterium Treponema pallidum subspecies pallidum.
• Four stages (primary, secondary, latent, and tertiary)
• Syphilis is most commonly spread through sexual
activity.
• It may also be transmitted from mother to baby during
pregnancy or at birth, resulting in congenital syphilis.
• Other human diseases caused
related Treponema bacteria include
yaws(subspecies pertenue),
pinta (subspecies carateum),
nonvenereal endemic syphilis (subspecies endemicum).
3. These three diseases are not typically sexually transmitted.
Diagnosis is usually made by using blood tests.
The bacteria can also be detected using dark field
microscopy.
The Center for Disease Control recommends all pregnant
women be tested.
The risk of sexual transmission of syphilis can be reduced by
using a latex condom.
Syphilis can be effectively treated with antibiotics.
4. Treponema pallidum is a Gram-negative bacteria which is
spiral in shape. It is an obligate internal parasite which
causes syphilis, a chronic human disease.
The virulent strain of T. pallidum was first isolated 1912 from
a neurosyphilitic patient
Morphology:
consisting of an inner membrane, a thin peptidoglycan cell
wall, and an outer membrane.
It is very small in size with a length that ranges from 6 to 20
um and a diameter.
T. pallidum is a member of the spirochete family which are
characterized by their distinct helical shape.
5. Probably the most interesting property of T. pallidum’s
structure is the endoflagella found in the periplasmic space
between its two membranes.
These organelles give T. pallidum its distinctive corkscrew
motility.
For the past decades treatment has been available,
syphilis remains a health problem throughout the world.
The WHO (world health organization) “estimates that 12
million new cases of syphilis occur each year.”
7. Primary
Primary syphilis is typically acquired by direct sexual contact with
the infectious lesions of another person.
Approximately 3 to 90 days after the initial exposure.
A skin lesion, called a chancre, appears at the point of contact.
This is classically a single, firm, painless, non-itchy skin ulceration
with a clean base and sharp borders 0.3–3.0 cm in size.
The lesion may take on almost any form. In the classic form, it
evolves from a macule to a papule and finally to
an erosion or ulcer.
8. The most common location in women is the cervix
the penis in heterosexual men ,
and anally and rectally relatively commonly in men who have sex
with men .
Lymph node enlargement frequently occurs around the area of
infection.
The lesion may persist for three to six weeks without
treatment.
Occasionally, multiple lesions may be present with multiple
lesions more common when confected with HIV.
Lesions may be painful or tender and they may occur in places
other than the genitals.
10. Secondary
Secondary syphilis occurs approximately four to ten weeks
after the primary infection.
While secondary disease is known for the many different
ways it can manifest, symptoms most commonly involve the
skin, mucous membranes, and lymph nodes.
There may be a symmetrical, reddish-pink, non-itchy rash on
the trunk and extremities, including the palms and soles.
The rash may become maculopapular or pustular. It may
form flat, broad, whitish, wart-like lesions known
as condyloma latum on mucous membranes. All of these
lesions harbour bacteria and are infectious.
11. Other symptoms may include fever, sore throat, malaise, weight
loss, hair loss, and headache.
Rare manifestations include
• liver inflammation
• Kidney disease
• joint inflammation
• Periostitis
• inflammation of the optic nerve
• uveitis, and interstitial keratitis.
12. The acute symptoms usually resolve after three to six weeks
about 25% of people may present with a recurrence of
secondary symptoms.
Many people who present with secondary syphilis do not report
previously having had the classic chancre of primary syphilis.
13. Latent
Latent syphilis is defined as having serologic proof of infection
without symptoms of disease.
It is further described as either early (less than 1 year after
secondary syphilis) or late (more than 1 year after secondary
syphilis) .
Early latent syphilis may have a relapse of symptoms. Late
latent syphilis is asymptomatic, and not as contagious as early
latent syphilis.
14. Tertiary
Tertiary syphilis may occur approximately 3 to 15 years after
the initial infection, and may be divided into three different
forms:
gummatous syphilis
late neurosyphilis
and cardiovascular syphilis .
Without treatment, a third of infected people develop
tertiary disease.
People with tertiary syphilis are not infectious.
15. Gummatous syphilis or late benign syphilis usually occurs 1 to
46 years after the initial infection, with an average of 15 years.
This stage is characterized by the formation of
chronic gummas, which are soft, tumor-like balls of
inflammation which may vary considerably in size.
They typically affect the skin, bone, and liver, but can occur
anywhere.
Neurosyphilis refers to an infection involving the central
nervous system.
It may occur early, being either asymptomatic or in the form of
syphilitic meningitis.
17. Congenital
Congenital syphilis is that which is transmitted during
pregnancy or during birth.
Two-thirds of syphilitic infants are born without symptoms.
Common symptoms that develop over the first couple of years
of life include enlargement of the liver and spleen , rash , fever,
neurosyphilis , and lung inflammation .
Infection during pregnancy is also associated with miscarriage
18. Transmission
primarily by sexual contact.
from a mother to her fetus.
the spirochete is able to pass through intact mucous
membranes or compromised skin.
It is thus transmissible by kissing near a lesion, as well as oral,
vaginal, and anal sex.
Syphilis can be transmitted by blood products, but the risk is
low due to blood testing in many countries.
It is not generally possible to contract syphilis through toilet
seats, daily activities, hot tubs, or sharing eating utensils or
clothing.
This is mainly because the bacteria die very quickly outside of
the body, making transmission by objects extremely difficult.
19. Diagnosis
Syphilis is difficult to diagnose clinically early in its
presentation.
Confirmation is either via blood tests or direct visual
inspection using microscopy.
Blood tests are more commonly used, as they are easier to
perform.
Diagnostic tests are unable to distinguish between the
stages of the disease.
20. Blood tests
Blood tests are divided into
nontreponemal
treponemal tests.
Nontreponemal tests are used initially, and include
venereal disease research laboratory (VDRL)
rapid plasma reagin (RPR) tests.
False positives on the nontreponemal tests can occur with
some viral infections, such as varicella (chickenpox)
and measles. False positives can also occur
with lymphoma, tuberculosis, malaria, endocarditis, connecti
ve tissue disease, and pregnancy.
21. Because of the possibility of false positives with nontreponemal
tests, confirmation is required with a treponemal test,
Treponemal pallidum particle agglutination (TPHA)
Fluorescent treponemal antibody absorption test
Treponemal antibody tests usually become positive two to five
weeks after the initial infection.
Neurosyphilis is diagnosed by finding high numbers
of leukocytes (predominately lymphocytes) and high protein
levels in the cerebrospinal fluid in the setting of a known syphilis
infection.
23. Prevention
Vaccine
As of 2018, there is no vaccine effective for prevention.
Several vaccines based on treponemal proteins reduce lesion
development in an animal model and research continues.
24. Treatment
Early infections
The first-choice treatment for uncomplicated syphilis remains a
single dose of intramuscular benzathine benzylpenicillin.
Doxycycline and tetracycline are alternative choices for those
allergic to penicillin
due to the risk of birth defects, these are not recommended for
pregnant women.
Resistance to macrolides, rifampicin, and clindamycin is often
present. Ceftriaxone, a third-generation cephalosporin antibiotic,
may be as effective as penicillin-based treatment.