SYPHILIS

SYPHILIS

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Often without symptoms, GET DETECTED!

Syphilis is an STI caused by the bacterium Treponema pallidum. Since the beginning of the 2000s, it has been on the resurgence in Western Europe. From 100 cases reported in 2002, we have gone from nearly 2,000 cases in Belgium in 2015!

At present, the 32-44 age group remains the most affected by syphilis, with men who have sex with men being the most represented among those affected by syphilis.

Syphilis has three stages with specific symptoms. Chronically, this infection can lead to death.

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Transmission modes

Syphilis is transmitted:

  • by sexual contact (vaginal, oral and/or anal)
  • by direct contact with the lesions (chancres and red patches)
  • during pregnancy (from mother to child).
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Symptoms

Syphilis is three stages with specific symptoms:

Stage 1. Symptoms usually appear between 3 and 90 days after infection: a painless ulcer (called a chancre) on the genitals, the anus, in the mouth, sometimes even on the skin. The chancre disappears by itself after 3 to 6 weeks, but you are still a carrier and therefore a contaminant for others !

Stage 2. Symptoms occur 7-10 weeks after infection: fever, fatigue and skin problems with a rash (red patches) on the back, stomach, hands and feet. Stage 2 can also occur at the same time as stage 1 as years later. The pimples disappear by themselves but you are still a carrier and therefore a contaminant for others !

Stage 3. Without treatment, syphilis can go on for years without symptoms (up to 30 years!). At this stage, it causes serious complications.

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Consequences if undetected and untreated

If not treated in time, syphilis can progress to stage 3 and cause serious cardiac or neurological complications (stroke, loss of coordination, insensitivity, paralysis, loss of sight, deafness). This complication is more common in people living with HIV.

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Screening

Screening for syphilis is carried out:

  • via a blood test and a clinical examination performed by a doctor
  • via a quick test

Your partners should also be screened and treated!

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Treatment

Syphilis can be treated with injectable antibioticswhich are highly effective in the first two stages of the disease.

The third stage of syphilis remains more difficult to treat.

There is nothing to stop syphilis from coming back once treated and cured!

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Protection

To protect yourself from syphilis, you should :

Symptoms of syphilis may never appear or may disappear after you have been infected, so protect yourself and your partners after you have taken a risk!

Condoms reduce the risk of exposure but do not offer complete protection as syphilis can be transmitted through sexual touching and oral sex.

A person who has sex with a syphilis chancre is at greater risk of getting HIV or another STI.

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Recommendation

Regular screening for people with multiple partners: syphilis is easy to treat and of no consequence when diagnosed early.