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What Does My Lab Test Report Indicate?

Posted on Mon, 4 Jul 2016

Question: Hi,

I got tested for HIV and VDRL,

HIV- negative,

VDRL- reactive,

then I got tested for TPHH, result- +ve(1:640)
VDRL(RPR)(Side floccuation) - Reactive(1:64)

Consulted doctor, he asked me to get 3 vaccination Benzathine pencillin aswell as to retest for hiv p24 antigen.

I first notice a small spot on the skin of my genital. got tested 1 week back, now it has bulge out all around.
doctor said its syphyllis

Regards

Answered by Dr. Prof. Kunal Saha (4 hours later)

Brief Answer:
Syphilis positive

Detailed Answer:
Thanks for asking on Health care magic.

I have gone through the report and the details mentioned in the query. Indeed the report indicates syphilis. You should take the course of benzathin penicillin. Try to abstain from unprotected sexual activity in the meantime.

Let me know if you have further queries.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (46 hours later)

Whats the course for the benzathin penicillin, I had already taken two one for one bottocks,

the doctor has asked me to take two more in a gap of a week

what stage is my disesae is it curable?

Answered by Dr. Prof. Kunal Saha (3 hours later)

Brief Answer:
Proper follow up is very essential.

Detailed Answer:
Thanks for writing back.

The test does not indicate the stage of the disease. Clinical evaluation is required to assess the stage of the disease. You need to talk to your doctor for the same. About the course of benzathin penicillin, I do not think that you should self medicate. You should remain under the supervision of your doctor so that he can monitor the progress and make suitable changes in the treatment regimen if felt necessary.

Following is the treatment guideline:
http://www.YYYY.gov/std/tg2015/syphilis.htm

The following information should be helpful for you:
http://www.YYYY.com/health/std/syphilis
http://emedicine.medscape.com/article/229461-treatment

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (21 hours later)

Hi,

Thank you for your information. I am in touch with my doctor, he again asked me to get p24 antigen test done. And i was following in interenet.

I found out some symptoms are of secondary. but doctor never asked me these thinks. is he knows that some thing terrible and hiding me.

symptoms in me what i found are:

swollen lymph gland in my neck both side as well as in groin.
feeling tired
today i noticed a small white sore in my tongue.

Please advice me.

Regards
Anshuman.

Answered by Dr. Prof. Kunal Saha (32 minutes later)

Brief Answer:
Wait for the reports

Detailed Answer:
Thanks for writing back.

The lymph node enlargement as well as I coated tongue could be warning signs but let us not speculate. Let us wait for the reports of the p24. Depending on the results appropriate steps may be taken and post exposure prophylaxis can be administered if felt necessary.

Regards

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina