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rpr 1:2 after 10 years
Sep 29, 2013

Dear Doctor,

13 years ago I found out I had Syphilis. I was treated by my doctor with penicillin and was told I was cured.

Several months ago I had sex with an escort. I used a condom for sex but not for oral. I have not had any symptoms, No rash or sores but I am still incredibly worried I contracted an STD.

I went to a testing lab and had the full STD screening. Results for STD's were negative except for syphilis. These are my results:

RPR (DX) W/REFL TITER AND IG CONFIRMATORY TESTING REACTIVE 1:2

FTA-ABS REACTIVE

I don't know if I caught syphilis again or if I am just always going to test this way.

Thanks for any help you can provide.

Regards,

Response from Dr. Holodniy

This test can be positive for years after infection and after successful treatment. An increase in the titer by 4-fold or more (i.e., from 1:2 to > 1:8) would suggest reinfection.



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