Как выявить наличие скрытого сифилиса

Recently, modern venereology all over the world is increasingly faced with detection of latent syphilis.

Specialists suggest that the reason may be the extremely widespread use of antibacterial agents.

Thus, patients who have not been diagnosed with syphilis take antibiotics as prescribed by a doctor or on their own, believing that they are treating a completely different disease. It can be stomatitis, tonsillitis, trichomoniasis, chlamydia, gonorrhea or SARS.

Against this background, syphilis acquires a latent course, it is quite difficult to detect it.

Read our article on estet-portal.com about methods for detecting latent syphilis.

Main causes and classification of latent syphilis

Many experts attribute the increase in the incidence of syphilis precisely because of the mass examination of patientsin various hospitals and medical institutions for syphilis.

Latent syphilis is more often detected by chance during preventive examinations.

When primary syphilis becomes secondary, this period is called early latent syphilis.

As a rule, this period falls on the first 2 years after infection with treponema.

At this moment, there are no symptoms and manifestations, however, the patient is dangerous to others in terms of infection. This is because at any time the process can go into an active form with the appearance of a rash on the skin, which contains a lot of treponema.

If a diagnosis of early latent syphilis is established, then it is necessary to carry out anti-epidemic measures with the identification of sexual and household contacts.

The patient will be isolated and treated until the body is completely sanitized.

After 2 years from infection, latent syphilis is late.

In this period, the patient is not epidemiologically dangerous, because the transition of syphilis to the active phase is manifested by symptoms of tertiary syphilis.

The skin is affected with the formation of tubercles and gums, the nervous system and internal organs.

Another unspecified latent syphilis is distinguished when the patient cannot guess when he was infected and it is impossible to establish the timing of the disease.

You may be interestedbut: Secondary syphilis: a dangerous enemy under the guise of other diseases

History taking for suspected latent syphilis

A carefully collected anamnesis is already half the diagnosis. Venereology is no exception.

Before the examination, the venereologist finds out the presence of suspicious sexual contacts in relation to syphilis, whether there have been single erosions on the oral mucosa or in the genital area, skin rash, taking antibiotics for another diseases – all this matters in detecting latent syphilis.

During the examination, the doctor may detect a induration or scar as a result of resolution of hard chancre. There may also be altered lymph nodes.

Confrontation plays an important role in the diagnosis of latent syphilis – examination for syphilis of persons who had sexual contact with the patient. If latent syphilis is detected in the current sexual partner, the diagnosis of latent syphilis is also made to the sick person.

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What research can detect latent syphilis

Serologic testing is required to confirm the diagnosis of latent syphilis.

Patients have a high titer of reagins, except for those who have been treated with antibiotics during the illness.

RPR-test, PCR, RIBT, RIF.

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With early latent syphilis, RIBT can be negative, but RIF is always sharply positive. The detection of latent syphilis is a rather difficult task for the doctor, as false positive reactions to syphilis are possible.
This happens when a patient has:

    infectious focus;
  • pulmonary tuberculosis;
  • rheumatism;
  • chronic processes in the liver;
  • for previous malaria.
Therefore,

reactions to syphilis are carried out several times, repeating them after the elimination of foci of infection and the treatment of somatic pathologies.

Latent latent syphilis may develop

latent syphilitic meningitis, which can be detected by examining the cerebral fluid.

Latent syphilis is treated with systemic

penicillin antibiotics.

Therapy aims to

prevent syphilis from becoming activeand prevent infection.

Effectiveness of

syphilis treatment is assessed by serological tests.

In Search of the Causative Agent of Syphilis: A Mysterious Disease

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