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Syphilis relapse?
Hello Doctor,
Here is my case. I got syphilis back in Early Nov.2014, the RPR titer then was 1:32. I received the treatment and in my six-week follow-up test the titer dropped to 1:16. However, in my most recent follow-up test in got the titer back to 1:32. Is that a reinfection or relapse sign? I don't think it's normal to sustain this high titer after six months, but I couldn't think of any occasion that I got reinfected. (Only one sex partner since then, and he got tested when I was diagnosed. Results got back all negatives, and he still had a penicillin shot just in case.)
I am now confused about my result. Can you advise? Thank you so much!
Here is my case. I got syphilis back in Early Nov.2014, the RPR titer then was 1:32. I received the treatment and in my six-week follow-up test the titer dropped to 1:16. However, in my most recent follow-up test in got the titer back to 1:32. Is that a reinfection or relapse sign? I don't think it's normal to sustain this high titer after six months, but I couldn't think of any occasion that I got reinfected. (Only one sex partner since then, and he got tested when I was diagnosed. Results got back all negatives, and he still had a penicillin shot just in case.)
I am now confused about my result. Can you advise? Thank you so much!
Hi I had the hand rash as well as a sore around anus at the same time. I don't know why that happened. Seemed that I had the two stages symptoms all together, which is also why I thought my stage was really early.
I went to my doctor today. He sent me to a re-treatment with again 2.4 million units Penicillin G Benzathine, as well as a 10 day's doxycycline.
And this time I did not have any of the so-called "Jarisch-Herxheimer reaction". Does it mean that Penicillin does not work?
I went to my doctor today. He sent me to a re-treatment with again 2.4 million units Penicillin G Benzathine, as well as a 10 day's doxycycline.
And this time I did not have any of the so-called "Jarisch-Herxheimer reaction". Does it mean that Penicillin does not work?
And anyway your syphilis wasn't treated all that early. Your thread last November said you had a skin rash of the hands. Assuming that was secondary syphilis, you probably had been infected for 3 months, possibly as long as a year.
Syphilis bacteria often invade the central nervous system, typically very early; it can be detected in spinal fluid of at least half of people at the earliest stages. The earlier treatment is given, the less likely this results in treatment failure. But still it isn't rare and your situation isn't unsual.
Yes, totally curable -- no worries there. However, if complications develop, they usually cannot be reversed; damage done cannot be undone. So as noted above, don't delay.
Yes, totally curable -- no worries there. However, if complications develop, they usually cannot be reversed; damage done cannot be undone. So as noted above, don't delay.
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Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
So you need to see your doctor -- or preferably an infectious disease or STD specialist who understands the details of syphilis management -- and take it from there. Don't delay; untreated neurosyphilis can rapidly cause very bad things, like blindness or stroke. Get on this right away.
Good luck!