Syphilis and other STDs
May 10, 2010
I have been HIV+ for over a decade, but only started meds around a year ago. UD and CD4 stable at 460 (27%) as of March 2010. I was very safe when it came to sex and my last full STD panel was done in Dec 2009. I did something very stupid about 2 months ago - barebacking with another HIV+ man. I should have tested earlier but held it off, hoping I didn't catch anything.
But a few days ago I noticed a small red spot on my penis, and promptly asked my GP for a syphilis test (should have ordered others, but they will be done soon). At around the same time I noticed red blood in stools; my GP checked and said it was probably caused by hemorrhoids.
In any case the syphilis test came back reactive 3 days, with a titer of 1:64. I will see my ID doctor tomorrow. Now other than syphilis, I worry that I might have also contracted rectal gonorrhea and other STDs. I am also since earlier this week began to feel a lot of muscle ache (couldn't start a day without a over-the-counter painkiller), general tiredness and more than usual night sweating.
I am fully prepared for the penicillin treatment and even lumbar puncture (if doctor orders). I want to know what advises you might in turn of other possible STDs, in particularly regarding the tiredness and muscle ache. What other tests I should do? And if I am co-infected with gonorrhea or other STDs, how will they affect the syphilis treatment.
Thanks in advance for your help,
Response from Dr. Holodniy
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