syphilis ,what to know?
syphilis, what to know?
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![What is the symptoms and complications of syphilis | Science online](data:image/jpeg;base64,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)
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![Diagnosis and Management of Syphilis - American Family Physician](https://www.aafp.org/afp/2003/0715/afp20030715p283-f2.gif)
![](https://www.aafp.org/afp/2003/0715/afp20030715p283-f1.gif)
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![Diagnosis and Management of Syphilis - American Family Physician](https://www.aafp.org/afp/2003/0715/afp20030715p283-f2.gif)
![](https://www.aafp.org/afp/2003/0715/afp20030715p283-f1.gif)
Recommended approach to the treatment of syphilis. (IM = intramuscular; HIV = human immunodeficiency virus; CSF = cerebrospinal fluid; IV = intravenous)
*--Alternative treatments for nonpregnant penicillin-allergic patients: doxycycline (Vibramycin), 100 mg taken orally twice daily for 2 weeks, or tetracycline, 500 mg taken orally four times daily for 2 weeks; limited data support efficacy for ceftriaxone (Rocephin), 1 g once daily IM or IV for 8 to 10 days, or azithromycin (Zithromax), 2 g orally (single dose).
†--Alternative treatments for nonpregnant penicillin-allergic patients: doxycycline, 100 mg taken orally twice daily for 4 weeks, or tetracycline, 500 mg taken orally four times daily for 4 weeks.
Selected Differential Diagnosis of Genital Lesions
DISORDER OR DISEASE | CHARACTERISTICS OF GENITAL LESION | ETIOLOGY |
---|---|---|
Primary syphilis: chancre
|
Solitary, painless ulcer with indurated border
|
Treponema pallidum
|
Secondary syphilis: condyloma latum
|
Slightly raised or flat, round or oval papules covered by gray exudate
|
T. pallidum
|
Genital herpes
|
Cluster of shallow, small, painful ulcers on a red base
|
Herpes simplex virus
|
Chancroid
|
Painful ulcer with sharp, undermined borders
|
Haemophilus ducreyi
|
Venereal warts
|
Soft, usually painless skin-colored or red papules
|
Human papillomavirus
|
Lymphogranuloma venereum: primary stage
|
Painless papule, shallow erosion, or ulcer; may be multiple or single
|
Chlamydia trachomatis
|
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