STD Syphilis diagnosis Treatmrnt

Diagnosis

1. In cutaneous lesions, dark field examination of discharge from

   skin lesions for treponema pallidum.

2. Demonstration   of   treponema    pallidum    in   tissue   on

   histopathological examination.

3. Serological  tests  : The  value  of these  tests  in  various

   stages of the desease is given in table 28.1.

Table 28.1:  Percent Positivity of Tests

_________________________________________________________________

Test                    Primary     Secondary   Latent   Tertiary

_________________________________________________________________

VDRL                     72           100         73       77

Flourescent              91           100         97      100

Trepenoma  Antibody

FTA-ABS

Trepenoma Pallidum       46            98         95       95

Immobilisations (TPI)

Haemoaglutination        69           100         98      100

_________________________________________________________________

1.5 Treatment

Penicillin-G  is a drug of choice for all stages of syphilis.  T-

Pallidum   is  killed  by  low  doses  of  penicillin  G;   other

antibiotics   effective   in   syphilis   include   tetracycline,

erythromycin and caphalordin.

Any questions be sent to drmmkapur@gmail.com

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