Podcast #355: Syphilis

Emergency Medical Minute

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6y ago 3:36

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Author: Aaron Lessen, MD

Educational Pearls:

Re-emerging STI.

Progresses through distinct phases if untreated:

Primary syphilis: frequently overlooked because initial chancre is painless.

Secondary syphilis: viral syndrome, rash on trunk, palms, and soles.

Latent syphilis: asymptomatic period, lasting 5-20 years.

Tertiary syphilis: includes neurosyphilis (dementia, encephalitis, etc.) and cardiovascular syphilis (aortitis, etc).

Treatment penicillin G 2.4 million units once for primary or secondary treatment; once weekly for 3 weeks for latent/tertiary.

References

Mattei, P., Beachkofsky, T., Gilson, R., Wisco, O. Syphilis: A reemerging infection. 2012. American Family Physician., 86(5), 433-440.

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