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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Syphilis

Hi, In February I was hospitalised abroad after having contracted syphilis and chlamydia at the same time Before admission they tested me for HIV which came back negative (blood test), a week before my admission I did 3 swab tests, all negative. Three days later while in hospital, the doctor came to tell me I was positive, her attending colleague came to see me shortly after and told me not to get upset to worried, the test wasn t positive, it was inconclusive. Her colleague was assuming I was positive because my tcells were so low but after looking at my tests she assumed it was because my immunity had been shot down with the syphilis and chlamydia double whammy. I was released a week later and continued to go for my weekly shots. Within three months my syphilis went from 1:32 to 1:2, the doctors themselves couldn t believe how rapidly my system had fought the syphilis (it apparently takes up to two years), while at home I did another two swab tests which returned negative results. I did another follow up blood test, four months after my stay in hospital and the result is still inconclusive, the doctors just say there is a problem with my blood and the amount of antibodies but cannot seem to see what it is. Could I be positive after so many 5 swab and 1 blood negative? Could it be the syphilis? It has now been 6 months and the latest is still inconclusive. I am not in my own country and the language barrier here doesn t help either
Wed, 27 May 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,
Syphillis could be false positively came out with using Non-treponemal tests which include venereal disease research laboratory (VDRL) and rapid plasma reagin tests because both are very sensitive tests.

False positive results could come on the non-treponemal tests following some viral infections such as varicella or measles, as well as with lymphoma, tuberculosis or malaria.

There will be a requirement of confirmation tests like treponemal test, such as treponemal pallidum particle agglutination (TPHA) or fluorescent treponemal antibody absorption test (FTA-Abs) which are specific tests and could come positive after 5 or 6 weeks following unprotected sexual exposure.

so,here I would suggest you to see immediate an infectious disease (ID) specialist for checking and thoroughly clinical examination without bothering about earlier test results.

You should be given single dose of benzathine penicillin as it is to be given in the uncomplicated cases of syphilis.

Regards,
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Suggest Medication For Syphilis

Hi, Welcome to health care magic, Syphillis could be false positively came out with using Non-treponemal tests which include venereal disease research laboratory (VDRL) and rapid plasma reagin tests because both are very sensitive tests. False positive results could come on the non-treponemal tests following some viral infections such as varicella or measles, as well as with lymphoma, tuberculosis or malaria. There will be a requirement of confirmation tests like treponemal test, such as treponemal pallidum particle agglutination (TPHA) or fluorescent treponemal antibody absorption test (FTA-Abs) which are specific tests and could come positive after 5 or 6 weeks following unprotected sexual exposure. so,here I would suggest you to see immediate an infectious disease (ID) specialist for checking and thoroughly clinical examination without bothering about earlier test results. You should be given single dose of benzathine penicillin as it is to be given in the uncomplicated cases of syphilis. Regards,