Syphilis

Treatment:

The objective of treatment is to eliminate the infection with antibiotic therapy. Contact and treatment of all sexual partners is essential. Penicillin (see Penicillin V) is the best choice for all forms of syphilis (or oral tetracycline for those sensitive to penicillin).

The infection must be reported to public health authorities for assistance in identifying and treating contacts. Follow-up blood tests must be done at 3, 6, 12, and 24 months to ensure the infection has been eliminated.

There must be abstinence from sexual conduct until 2 follow-up tests have indicated that the infection has been cured. The disease is extremely contagious in the primary and secondary stages.

Expectations (prognosis):

Lesions associated with syphilis are self-limiting and disappear with little residual damage. Late syphilis may be permanently disabling and lead to death. In untreated persons, about one-third will develop serious late lesions.

Complications:

• tissue destruction of almost any body organ in tertiary infection

Calling your health care provider:

Call for an appointment with your health care provider if symptoms worsen or do not improve with treatment, or if new symptoms develop.