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syphillis and HIV
Apr 10, 2006

Dear Doc i am a foreign chinese now base and work in China. as you may know, any foreigners found to be positive will be deported. about a year and half back, through complete health screening out of china, i found myself to be positive. the authorities are not aware and is thus continuing to renew my permit. having read and followed your forum, i have slowly came to terms with my condition and is seeking medical followup in thailand. but alas, i have careless this one time and now i have contracted syphillis. the thai doc has given me a treatment of penicillin two days back. may i know what are the long terms health effect for me? Do i assume that penicillin completely rid me of the syphillis or there is something i will have to continuously monitor from now on beside my CD4 (now 429) CD4% (14.4%) and VL (now 22700). these readings are done two days back but prior to this I did a test in Jan where CD4 is 430, CD4% 13% and VL is 7000. Thanks for your attention....

Response from Dr. Young

Thanks for your post.

Syphillis infection can be very well treated in patients with HIV with injection(s) of penicillin- the number of doses depends on when you were exposed and your current symptoms.

There are serologic (antibody) tests that we use to monitor patient with HIV and syphillis-- typically called the RPR. RPR levels should remain low in patients who have been successfully treated; increased RPR titers would be concerning for recurrence.

With your lower CD4%, I'd want to keep an eye on your response a little more closely, a check in 6 months would be reasonable.

Be safe out there, BY

Heartfelt thanks
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