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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Syphilis

I am having syphilis and already treated by a dermatologist 2 months ago and it is still positive I was given antibiotics Vibramycin and Pantozol 20 for 15 days and advised to retest but it was positive and then suggested by the same doctor to continue medicine for 15 days more and gone through an other test which was again positive yet doctor said no more medicine it should come down to negative over the time but how long she never explained
I personally visited several sites they discussed on syphilis and shows horrified results coz it is something always remain in the blood even after getting tested as negative so not syphilis but something else like other infection
I was told earlier that penciline injection is good but I live in Abu Dhabi and its not allowed very openly
at the same time its available but only on strong recommendation having told that it may have huge side effects such as causing death
yet I know its available but im hesitant weather I should go for that or not
going through 2 different doctor ( one is lady doctor being dermatologist one is a male doctor who is actually known for treating HIV and Syphilis patients) lady doctor says with injection it may come down little early but the other one said it doesn't effect much but having bad effects so im confused about what to do next
im already terminated from my job after going through the screening test it was not required for visa but for my company pre-employment criteria and was told something totally dangerous that syphilis might carry HIV virus which shows only after 5 to 6 months
when I was diagnosed syphilis 2.5 months ago I had gone through HIV test which was negative
please tell me after going through my history
im going to be 35 years old man in few months.
thanks
Mon, 2 Mar 2015
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Infectious Diseases Specialist 's  Response
Hello dear patient. Welcome to HCM..

I am Dr Jigar ( Infectious Disease Specialist).

I have gone through your question and understand the problem you are facing.

Whenever you say test done for any disease, you must specify name and type of test because there are more than one diagnostic tests available for various infectious disease.

Anyway from information provided i assume that screening test like RPR test may have been performed on your sample for syphillis. Now this test if comes positive it needs to be confirmed by other more specific tests like TPHA or other.

Also you need to understand that this RPR test tells that your body have prepared weapons(antibodies) against syphillis which remains for long time (upto 2 years) even if infection is cured from body by drugs. So the titre of test decreases with time. Your doctor should observe the fall in titre.

Regarding treatment yes penicillin injection is the drug of choice. It can cause severe allergic reaction only in few person which can be detected by skin test before giving whole dose. So it can b used very well. Vibramycin which you took is alternative but not as good as penicillin.

Lastly for HIV you need to be careful and do the test again after 3 months evenif initially it came negative.

I hope this will help you for further steps. Give your valuable feedback if you are satisfied with answer. Take care.

Dr Jigar.
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Suggest Treatment For Syphilis

Hello dear patient. Welcome to HCM.. I am Dr Jigar ( Infectious Disease Specialist). I have gone through your question and understand the problem you are facing. Whenever you say test done for any disease, you must specify name and type of test because there are more than one diagnostic tests available for various infectious disease. Anyway from information provided i assume that screening test like RPR test may have been performed on your sample for syphillis. Now this test if comes positive it needs to be confirmed by other more specific tests like TPHA or other. Also you need to understand that this RPR test tells that your body have prepared weapons(antibodies) against syphillis which remains for long time (upto 2 years) even if infection is cured from body by drugs. So the titre of test decreases with time. Your doctor should observe the fall in titre. Regarding treatment yes penicillin injection is the drug of choice. It can cause severe allergic reaction only in few person which can be detected by skin test before giving whole dose. So it can b used very well. Vibramycin which you took is alternative but not as good as penicillin. Lastly for HIV you need to be careful and do the test again after 3 months evenif initially it came negative. I hope this will help you for further steps. Give your valuable feedback if you are satisfied with answer. Take care. Dr Jigar.