syphilis, primary…

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primary syphilis, male, female reproductive systems, primary syphilis, syphilis is one, the more frequently diagnosed, reported sexually transmitted diseases, a chancre, typical sore of primary syphilis, syphilis, infectious disease, corkscrew-shaped bacterium, spirochete, treponema pallidum, organism causes, infection, it penetrates broken, abraded skin, mucous membranes, the genitals, transmission occurs most frequently, sexual contact, other means of transmission, syphilis occurs worldwide, united states, 10,000 cases occur annually, rate of syphilis is higher in urban, rather than rural, areas, disease occurs most frequently, in the southern states, young adults, ages 15 to 25, the highest risk population, no natural resistance to syphilis, people unaware that they, infected, syphilis, many states, require tests, syphilis, prior to marriage, all pregnant women who receive prenatal care, screened, syphilis, prevent congenital syphilis, is syphilis infection transmitted, mother, newborn, syphilis has three commonly recognized stages, primary syphilis, secondary syphilis, tertiary syphilis, a medical standpoint, actual stages, primary, secondary, latent, hidden, benign late, tertiary, syphilis, affect the unborn child of an infected mother, congenital syphilis, primary syphilis first shows, a small, painless open sore, ulcer, chancre, ulcer typically appears 2 to 3 weeks after exposure, solitary ulcer that appears on the penis is visible, ulcers that occur on the labia, cervix, anal area, mouth, go unnoticed, painless, not visible, classic-appearing ulcer, chancre is shallow, sharply defined borders, slightly raised edges, the ulcer is clean, free of debris, painless, firm, touch, many syphilitic ulcers, not "classic", typical-appearing, ulcer appearing on the genitalia, evaluated by a doctor, left untreated, chancre typically heals spontaneously, 3 to 6 weeks, leave behind a thin, slightly depressed scar, the end, the primary stage, organism continues to multiply, little outward evidence of disease, appearance, the second stage, secondary syphilis, tertiary syphilis, congenital syphilis, they were 20, 30 years ago, the availability of free, government-run sexually transmitted disease clinics, screening tests, syphilis, public education concerning stds, prenatal screening, painless sores, genital lesions, male, genital lesions, female, mouth sores, skin lesions, sores, lesions on the rectum, enlarged lymph nodes, in the area containing the chancre, a chancre, sore that heals in 4 to 8 weeks, vdrl, fta-abs fluorescent treponemal antibody test, dark field examination of fluid from sore, rpr, sts, serologic test, syphilis, the other tests used, syphilis, antibiotics, penicillin g benzathine, doxycycline, tetracycline, allergic to penicillin, duration of treatment depends on the extent, the syphilis, factors the overall health, the patient, syphilis, pregnancy, penicillin, the drug of choice, tetracycline cannot be used, toxicity, fetus, erythromycin, fail, prevent congenital syphilis, in the fetus, penicillin-allergic individuals should ideally be desensitized, penicillin, several hours following the treatment of early stages of syphilis, individuals, undergo a reaction, jarish-herxheimer reaction, symptoms of this reaction, fever, chills, headache, nausea, general feeling of ill, malaise, joint aches, muscle aches, disappear, follow-up blood tests must be done at 3, 24 months to ensure the infection has been eliminated, must be abstinence from sexual contact, two follow-up tests have indicated that the infection has been cured, sexual partner should also be treated, syphilis is extremely contagious, in the primary, secondary stages, syphilis, completely cured, diagnosed early, treated thoroughly, secondary syphilis, tertiary syphilis, congenital syphilis, neurosyphilis, cardiovascular syphilis, syphilitic meningitis, have symptoms suggestive of syphilis, intimate contact, a person who has syphilis, std, have engaged in any high-risk sexual practices, having multiple, unknown partners, using intravenous drugs, should contact doctor, screened in an std clinic, multiple sex partners, unknown partners, sex partners involved in any high-risk sexual practices, at risk, acquiring sexually transmitted diseases, a person who recognizes that, is at risk has taken the first step toward prevention, ideally, monogamous sex, a healthy partner remains, short of total abstinence, safest type of sexual relation, protected sex, condoms, the next most reliable method of preventing stds, condoms act, a barrier, transmission of infectious organisms, pathogens, used in any, all situations which would be considered risky, high risk, condoms, prevention of sexually transmitted disease, syphilis, reportable disease, required by law, infection must be reported by the health care provider to public health authorities, information acquired from reporting helps the public health investigators identify, locate, treat infected sexual contacts, function helps, prevent the continued spread of infection.