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latent syphilis

I checked my vdrl and tpha at april the result tpha 1:160 and 1:2 vdrl the doctor give me 3 injection because im latent patient.
I cant sleep i always thinking Can my syphilis cure? And i want ask can antibiotic kill syphilis bacterial
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Avatar universal
I see so if my immune sistem is low i very easy to get the syphilis when i doing sex with people who have syphilis right.
And to know bacterial cure or not harmed me we doing follow up check until 2 years right
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Avatar universal
I think your numbers (test results) do NOT correlate with a long term infection.
It just doesn't seem possible.
If you were actually infected with Syphilis for a year or more, your VRDL would be around 1:32, and TPHA would be >10240.

Your test results seem to indicate either a very recent infection with Syphilis, or that you had a false positive (meaning that you were never infected, but that the test still became reactive).

At any rate... if you were infected, then you received treatment and should be cured now... but usually people are retested 3 months after treatment.
I merely asked you to go back to the doctor and ask him/her about how exactly can he/she say that you were in a latent stage of the disease when your test results indicate a primary stage or even a false positive.

As for new infections...
I said that your current treatment would cure you now, but it wouldn't protect you from potential new infections - but in order to get re-infected, you'd have to have sex with a person who actually has it... and from my understanding, unless a person has visible sores, etc, its difficult to transmit the infection (which also depends on your immune system).
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Avatar universal
One more question what make the new infection
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Avatar universal
One more question what make the new infection
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Avatar universal
Sry i can reply now.ok will go to doctor soon. Ehmm so you thinks its odd with the number but i dont do treatment before its my first treatment. So i will identified as cure if my follow up at vdrl always negative with my current situation now.?
And one more i want ask.
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Avatar universal
If you had sex about a year ago (or more), it doesn't really sound possible that Syphilis would be at such low levels if you were actually infected for that long.
That bacteria does NOT just sit still or proliferate that slowly - unless we stumbled upon the slowest acting mechanism for Syphilis in the history of mankind (which is possible, but would be dismissed by the medical community at large).

The way I see it, its possible that you actually might have had a false positive test result.

Are you sure the VDRL was 1:2 ?
If so... then I really don't see how this can be latent stage Syphilis.
It just doesn't make any sense... plus the TPHA is extremely low at 1:160

These numbers (including your sexual history) would sooner indicate a false positive than an actual infection.

In order to see whether the treatment worked, you will have to retest in 3 months and VRDL/RPR levels would have to drop to 0 and be non-reactive ... however, you would continue to test positive on the antibody test in general (because Syphilis usually leaves a 'mark' in the body which the tests are apparently sensitive to after long term infection).

Still, I find this situation odd.
Your numbers simply do not correlate with a long term Syphilis infection.
They are indicative of a recent infection (maybe 6 to 8 weeks duration).

Since you already got treatment, I wouldn't worry myself.
But I would advise you to go back to the doctor and have him/her explain to you how can this be a latent infection if the numbers are so low to begin with?
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Avatar universal
In my case how to see my treatment dont failed i see with vdrl rpr become non reactive or what
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Avatar universal
My doctor want to know when last time im doing sex. i say its maybe 1 years i dont remember my primary and secondary syphilis. Thanks deksman2 i relief my stress go bit down.
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Avatar universal
If you received 3 IM injections, then you are probably cured.
As I also said earlier, your infection is quite likely recent, because the VDRL is only 1:2.

If you were in latent stage, your VDRL would be around 1:64 or possibly higher.

At any rate, your doctor probably wanted to cover most possible outcomes, hence why he/she gave you 3 IM injections instead of one... though I really don't understand how he/she could say that you were in the latent stage (based on your numbers that is).

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Avatar universal
Yeah im get 3 injection because i dont know when i get syphilis im not remember.my girlfriend told me to check and my hiv negative to. So i want to know if i cure and only doing monogamous relationship can this syphilis reinfection again?
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Avatar universal
First off, calm down.
Also, you need to try and formulate your responses in a bit more comprehensive manner in order to be understood accurately.

According to conventional medicine, Penicillin does kill the Treponema Pallidum bacteria (although it has been posited by some individuals that its merely inactivated by antibiotics and remains in the body - which is certainly possible, but the thing is that drops in antibody counts after treatment seem to imply less spirochetes as a result - at least if the doctors are to be taken into account).
I would imagine that the only reason as to why would the remaining bacteria become active in the body (if any are left after treatment) is because of a new infection.

It takes time for the VDRL/RPR numbers to drop... usually, people are retested 3 months after treatment and there would have to be a 4 fold drop on VDRL/RPR - in your case... it would probably be negative.

To my knowledge, the VDRL test is similar to RPR (which is newer) and is mainly used to ascertain how far the disease progressed.
TPHA alone is a bit different and is not used to ascertain the stage of the disease if I'm not mistaken.

The VDRL/RPR being 1:2 is actually very low... it indicates primary stage Syphilis (maybe the start of secondary stage) but not latent stage.

In such a case, only 1 Intramuscular injection of Benzathine Penicillin (24 million units) would be enough to eradicate the disease.
The 3 IM injections (each being administered once per week) would be done in cases which have latent stages of the disease (or ones of unknown duration) - and your numbers don't seem to indicate you were in a latent stage (or even remotely close to it - your test results indicate a low-level infection).

At any rate... my advice (if you accurately reported those test results) would be to calm down and relax.

Be sure to inform your previous sexual partner about Syphilis and those you might have had sex with over the past 3 months (just in case), and make sure your previous partner who might have infected you also informs his/her's sexual partners as well.
The idea is to curb this disease as much as possible so your previous partners (and their partners) can be tested to ascertain if they are infected and make sure they get the necessary treatment for it.

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Avatar universal
I want ask to is my antibody drop when syphilis cure can it relapse. My friend tell me antibiotic not kill bacterial and when you sick syphilis bacteri become active again
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