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Syphilis Diagnosis
Mar 30, 2014

I was recently diagnosed with Syphilis (on my records it says Syphilis (II) so I assume I am in the second stage.

My TRUST was 1:64 My TPPA was 1:1280

I am being treated with 3 shots of penicillin. I am currently in a foreign country.

Besides a cancre sore, I can't really think of any symptoms I have had. My last blood test was 1 year ago, but I did have a urine test 5 months ago which said I was negative for Treponema palladium.

I was wondering: 1. I know my results (titer) are high, but is this worrisome? 2. Is the urine test reliable, my doctor here I think assumed it wasn't and went with my 1 year blood test which put me in a secondary category thus the 3 shots of penicillin. 3. Am I at risk for neurosyphilis.

Response from Dr. Holodniy

1. No 2. Usually better to test and follow test results with blood tests. 3. Possibly. Need to be evaluated by your doctor for any signs or symptoms related to neurosyphilis. If there are any concerns a lumbar puncture to test spinal fluid would be indicated, and the treatment duration with penicillin is different.



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