
Causes
Symptoms
Prevention
Complications

What are the after effects of syphilis?
Syphilis can cause problems like headaches, meningitis, brain damage, paralysis, or hearing and vision loss. Cardiovascular problems. The disease can damage your heart valves or cause bulging blood vessels (aneurysms) or an inflamed aorta (aortitis).
What effects does syphilis have on the brain?
Individuals with meningeal syphilis can have headache, stiff neck, nausea, and vomiting. Sometimes there can also be loss of vision or hearing. Meningovascular syphilis causes the same symptoms as meningeal syphilis but affected individuals also have strokes.
Does syphilis affect memory?
In the brain, third stage syphilis can lead to memory problems, mood changes and dementia, resulting in the need for nursing home care. Third stage syphilis can even cause death by affecting the vital organs.
What are the 4 stages of syphilis?
There are four stages of syphilis (primary, secondary, latent, and tertiary). Each stage has different signs and symptoms....Other symptoms may include:fever;swollen lymph glands;sore throat;patchy hair loss;headaches;weight loss;muscle aches; and.fatigue (feeling very tired).
Does syphilis stay in your body forever?
After the initial infection, the syphilis bacteria can remain inactive in the body for decades before becoming active again. Early syphilis can be cured, sometimes with a single shot (injection) of penicillin.
How long does it take for syphilis to cause brain damage?
Neurosyphilis usually occurs about 10 to 20 years after a person is first infected with syphilis. Not everyone who has syphilis develops this complication.
Can you have syphilis for 20 years and not know it?
Without treatment you will still have syphilis for 20 years or more even though you will not have any signs or symptoms. People with latent syphilis may sometimes have symptoms (flare-ups) like skin rash, fever, a sore throat, swollen glands or feeling weak and tired.
What does untreated syphilis do?
Syphilis is a life-threatening sexually transmitted infection (STI). It spreads through sexual contact with someone who has the infection. Untreated syphilis can lead to death or serious health problems, including blindness, mental health disorders, and damage to the brain, heart, eyes and nervous system.
How long does it take for syphilis to cause brain damage?
Neurosyphilis usually occurs about 10 to 20 years after a person is first infected with syphilis. Not everyone who has syphilis develops this complication.
Can syphilis cause mental problems?
Syphilis is a multisystem chronic infection caused by treponema pallidum. It can cause psychiatric disorders including depression, mania, psychosis, personality changes, delirium and dementia.
Does syphilis show up on MRI?
We report a case of neurosyphilis with mesiotemporal involvement on MRI. Positive antibodies in the cerebrospinal fluid confirmed the diagnosis. The results suggest that neurosyphilis should be considered when MRI results indicate mesiotemporal abnormalities.
Can syphilis cause insanity?
Syphilis may be the cause, either immediate or remote, of every form of disease of the nervous system, from neurasthenic conditions to coarse brain disease, or insanity.
How Do People Get Syphilis?
Syphilis is transmitted from person to person by direct contact with a syphilitic sore, known as a chancre. Chancres can occur on or around the ext...
How Quickly Do Symptoms Appear After Infection?
The average time between acquisition of syphilis and the start of the first symptom is 21 days, but can range from 10 to 90 days.
What Are The Signs and Symptoms in Adults?
Syphilis has been called “The Great Pretender”, as its symptoms can look like many other diseases. However, syphilis typically follows a progressio...
How Does Syphilis Affect A Pregnant Woman and Her Baby?
When a pregnant woman has syphilis, the infection can be transmitted to her unborn baby. All pregnant women should be tested for syphilis at the fi...
How Is Syphilis Diagnosed?
The definitive method for diagnosing syphilis is visualizing the Treponema pallidum bacterium via darkfield microscopy. This technique is rarely pe...
What Is The Link Between Syphilis and HIV?
In the United States, approximately half of men who have sex with men (MSM) with primary and secondary (P&S) syphilis were also living with HIV(htt...
What Is The Treatment For Syphilis?
For detailed treatment recommendations, please refer to the 2015 CDC STD Treatment Guidelines(https://www.cdc.gov/std/tg2015/syphilis.htm). The rec...
Who Should Be Tested For Syphilis?
Any person with signs or symptoms suggestive of syphilis should be tested for syphilis. Also, anyone with an oral, anal, or vaginal sex partner who...
How Can Syphilis Be Prevented?
Correct and consistent use of latex condoms can reduce the risk of syphilis when the infected area or site of potential exposure is protected. Howe...
What happens after syphilis?
After the sore heals, the second stage will usually manifest with a rash. Finally, after a long period with no symptoms, the third stage can suddenly develop, causing extensive damage to the brain, nerves, eyes, or heart. Because the symptoms of syphilis are often non-specific (or mimic other conditions like psoriasis, hemorrhoids, ...
What is congenital syphilis?
Congenital syphilis is a serious condition in which a pregnant mother with syphilis passes the infection to her unborn baby.
How long does it take for syphilis to start?
Primary Syphilis. Primary syphilis will typically start with the appearance of a chancre anywhere from 10 to 90 days after the initial exposure (average 21 days). 1 The sore will develop at the point of contact, most commonly on the cervix, vagina, penis, anus, rectum, or mouth.
Why is syphilis called the Great Imitator?
Because the symptoms of syphilis are often non-specific (or mimic other conditions like psoriasis, hemorrhoids, and canker sores ), infections are sometimes missed and left untreated. It is for this reason that syphilis is often referred to as the "great imitator.". What syphilis looks and feels like changes as it evolves, ...
What is the third stage of syphilis?
Latent syphilis is the third stage of infection marked by the relative absence of symptoms but positive blood tests. It is further divided into two stages: Early latent syphilis is the period of less than a year from the last blood test. Secondary symptoms can sometimes relapse during the early latent phase.
How many stages of syphilis are there?
The signs and symptoms of syphilis vary based on the stage of the infection. There are four stages in all, each with distinct features. Some of the symptoms are "classic," meaning that they are clear signs of the disease, while others are non-specific and easily confused for other diseases. 1
What are the symptoms of a symlink?
By age 2, the child may have characteristic facial or physical deformities and significant sensory impairment, including: 1 Blunted upper front teeth (known as Hutchinson' teeth) 2 A collapse of the bony part of the nose (saddle nose) 3 A protruding jawbone and foreshortened upper jaw 4 A protruding frontal bone of the skull (frontal bossing) 5 Swollen knees 6 Bowing of the shin bones (saber shins) 7 Inflammation and scarring of the cornea (interstitial keratitis) 8 Glaucoma 9 Deafness 10 Developmental delays
What is syphilis?
Syphilis is a sexually transmitted disease (STD) caused by the bacterium Treponema pallidum. Syphilis can cause serious health sequelae if not adequately treated.
How do people get syphilis?
Syphilis is transmitted from person to person by direct contact with a syphilitic sore, known as a chancre. Chancres can occur on or around the external genitals, in the vagina, around the anus , or in the rectum, or in or around the mouth. Transmission of syphilis can occur during vaginal, anal, or oral sex. In addition, pregnant women with syphilis can transmit the infection to their unborn child.
How quickly do symptoms appear after infection?
The average time between acquisition of syphilis and the start of the first symptom is 21 days, but can range from 10 to 90 days.
How does syphilis affect a pregnant woman and her baby?
When a pregnant woman has syphilis, the infection can be transmitted to her unborn baby. All pregnant women should be tested for syphilis at the first prenatal visit. Some women need to be tested again during the third trimester (28 weeks gestation) and at delivery. This includes women who live in areas of high syphilis morbidity, are previously untested, had a positive screening test in the first trimester, or are at higher risk for syphilis (i.e., multiple sex partners, drug use, transactional sex, late entry into prenatal care or no prenatal care, meth or heroin use, incarceration themselves or of sex partners, unstable housing, or homelessness). 3 There should also be a discussion about ongoing risk behavior and treatment of sex partners to assess the risk for reinfection. Any woman who delivers a stillborn infant after 20 week’s gestation should also be tested for syphilis.
What is the link between syphilis and HIV?
In the United States, approximately half of men who have sex with men (MSM) with primary and secondary (P&S) syphilis were also living with HIV. 2 In addition, MSM who are HIV-negative and diagnosed with P&S syphilis are more likely to be infected with HIV in the future. 6 Genital sores caused by syphilis make it easier to transmit and acquire HIV infection sexually. There is an estimated 2- to 5-fold increased risk of acquiring HIV if exposed to that infection when syphilis is present. 7 Furthermore, syphilis and certain other STDs might be indicators of ongoing behaviors and exposures that place a person at greater risk for acquiring HIV.
What is the treatment for syphilis?
For detailed treatment recommendations, please refer to the 2021 CDC STI Treatment Guidelines. The recommended treatment for adults and adolescents with primary, secondary, or early latent syphilis is Benzathine penicillin G 2.4 million units administered intramuscularly in a single dose. The recommended treatment for adults and adolescents with late latent syphilis or latent syphilis of unknown duration is Benzathine penicillin G 7.2 million units total, administered as 3 doses of 2.4 million units administered intramuscularly each at weekly intervals. The recommended treatment for neurosyphilis, ocular syphilis, or otosyphilis is Aqueous crystalline penicillin G 18-24 million units per day, administered as 3-4 million units intravenously every 4 hours or continuous infusion, for 10-14 days. Treatment will prevent disease progression, but it might not repair damage already done.
How can syphilis be prevented?
Correct and consistent use of latex condoms can reduce the risk of syphilis when the infected area or site of potential exposure is protected. However, syphilis transmission can occur with lesions not covered by a latex condom.
Why is it important to tell your sex partner about syphilis?
Because of the hidden and lethal dangers that syphilis poses for untreated infected persons , it is vital that you contact your recent sex partners, tell them of your syphilis infection, and urge them to see their doctor for testing and treatment. You may be saving your partner's lives by doing so.
How long does it take for syphilis to develop?
Third stage syphilis is a very serious medical condition, which can develop anytime between one and thirty years after initial infection. Third stage syphilis affects the nervous system, the heart, the skin and the bones, and can lead to destruction of important organs, such as the liver and brain.
How is syphilis spread?
Syphilis is caused by a bacteria called Treponema Pallidum. Like similar bacterially caused STDs, it is spread from person to person via body fluids, most commonly via unprotected sexual activity, but occasionally when infected sores come into contact with open cuts or scrapes.
How many stages of syphilis are there?
A Syphilis infection passes through three identifiable stages with each stage having a recognizable profile of symptoms. The first stage of infection is characterized by the presence of painless ulcers (moist breaks in the skin) known as "chancres". The chancres heal on their own.
Can you get syphilis from condoms?
Note that condoms may not protect you from syphilis infection as syphilis chancres can occur in the general pubic region and not be covered by the condom. You could catch the disease if you rubbed against another person's chancres.
Can you save your partner's life with syphilis?
You may be saving your partner's lives by doing so. It is possible that one or more of your partners has had syphilis for years and has never shown recognizable symptoms. As with other STDs, you can reduce your chances of becoming infected with syphilis by taking precautions with your sexuality.
Can a doctor test for syphilis?
Doctors can do a blood test to detect the presence of the syphilis bacteria. They can treat syphilis with antibiotics. The earlier the disease is caught, the easier it is to treat (Later stage syphilis is difficult to treat).
What happens if you don't get syphilis?
About 15% to 30% of people infected with syphilis who don't get treatment will develop complications known as late (tertiary) syphilis. In the late stage, the disease may damage your brain, nerves, eyes, heart, blood vessels, liver, bones and joints. These problems may occur many years after the original, untreated infection.
What are the symptoms of syphilis?
Syphilis can cause a number of problems with your nervous system, including: 1 Headache 2 Stroke 3 Meningitis 4 Hearing loss 5 Visual problems, including blindness 6 Dementia 7 Loss of pain and temperature sensations 8 Sexual dysfunction in men (impotence) 9 Bladder incontinence
What is the first sign of syphilis?
Primary syphilis. The first sign of syphilis is a small sore, called a chancre (SHANG-kur). The sore appears at the spot where the bacteria entered your body. While most people infected with syphilis develop only one chancre, some people develop several of them.
How does syphilis spread?
The disease starts as a painless sore — typically on your genitals, rectum or mouth. Syphilis spreads from person to person via skin or mucous membrane contact with these sores.
What is the cause of syphilis?
Causes. The cause of syphilis is a bacterium called Treponema pallidum. The most common route of transmission is through contact with an infected person's sore during sexual activity. The bacteria enter your body through minor cuts or abrasions in your skin or mucous membranes.
How long does syphilis last?
The latent stage can last for years. Signs and symptoms may never return, or the disease may progress to the third (tertiary) stage.
Why is it important to notify your partner of syphilis?
Official, confidential partner notification can help limit the spread of syphilis. The practice also steers those at risk toward counseling and the right treatment. And since you can contract syphilis more than once, partner notification reduces your risk of getting reinfected.
How long does syphilis last?
It has a few stages and involves unpleasant phenomena such as lesions and skin eruptions. Syphilis can go dormant (latent) for years or even decades before it affects the brain in a condition known as general paresis. Brain tissue is gradually destroyed by the tiny organisms that cause syphilis, the spirochetes.
What is the tertiary stage of syphilis?
Syphilis in its tertiary (brain consuming) phase produces symptoms that are easily misdiagnosed as Bipolar Disorder combined with the Narcissistic and the Paranoid Personality Disorders. Syphilitic patients in the tertiary stage are often described as brutal, suspicious, delusional, moody, irritable, raging, lacking empathy, grandiose, ...
What causes mania, dementia, megalomania, paranoia, and paranoia?
Brain tissue is gradually destroyed by the tiny organisms that cause syphilis, the spirochetes. This progressive devastation causes mania, dementia, megalomania (delusions of grandeur), and paranoia. Even when its existence is suspected, syphilis is difficult to diagnose.
Is syphilis a narcissistic disorder?
Patients with late stage syphilis are sometimes misdiagnosed with Bipolar Disorder, Narcissistic and Paranoid Personality Disorders. Here's why. Watch the video on The Role of Syphilis and the Narcissist. It is common knowledge that brain disorders, injuries, and traumas are sometimes misdiagnosed as mental health problems.
How does neurosyphilis affect the nervous system?
Treatment. Coping. Neurosyphilis occurs when a syphilis infection spreads to the central nervous system. Syphilis is primarily thought of as a sexually transmitted infection that causes sores known as chancres. Syphilis can also affect the central nervous system (CNS)—the spine and the brain. When this happens, it can cause serious ...
What are the symptoms of neurosyphilis?
Possible symptoms of neurosyphilis include: Partial paralysis or weakness, affecting one or more areas of the body. Emotional lability, a difficulty controlling emotions. Emotions may change quickly or fail to match the situation. Difficulty with memory.
What is neurosyphilis in medical terms?
Neurosyphilis is an infection of the central nervous system. Claudia Chaves, MD, is board-certified in cerebrovascular disease and neurology with a subspecialty certification in vascular neurology. Neurosyphilis occurs when a syphilis infection spreads to the central nervous system.
Why is neurosyphilis dangerous?
Neurosyphilis is so dangerous because the CNS is the central information system of the body. The brain controls all conscious, and many unconscious, functions of the body. The spine sends information from the rest of the body to the brain to be interpreted. Therefore, infections that disrupt the brain or spine can damage the flow ...
How to diagnose neurosyphilis?
However, neurosyphilis is somewhat harder to diagnose. This is particularly true as there are no gold standard tests for neurosyphilis. Instead, diagnos is is usually based on the combination of symptoms and screening of the cerebrospinal fluid (CSF).
Can syphilis affect the brain?
Syphilis can also affect the central nervous system (CNS)— the spine and the brain. When this happens, it can cause serious or even debilitating symptoms. Neurosyphilis can happen during any stage of a syphilis infection. Thomas Barwick / Getty Images.
Is neurosyphilis hard to cure?
Coping. The personality changes associated with neurosyphilis can make it hard to cope with —for both the infected person and their loved ones. Fortunately, in the early stages of neurosyphilis, treatment is very effective. It can reverse many of the physical and psychiatric side effects of the disease.
