Syphilis Made Ridiculously Simple€¦ · Syphilis Made Ridiculously Simple Presenter: Alina...
Transcript of Syphilis Made Ridiculously Simple€¦ · Syphilis Made Ridiculously Simple Presenter: Alina...
Syphilis Made Ridiculously Simple
Presenter:AlinaIovleva,MDCoaches:GhadyHaidar,MD
PeterVeldkamp,MD
• TheFrenchDisease• TheItalianDisease• TheSpanishDisease• TheCupid’sDisease• TheBlackLion• TheGreatPox
The Great Imitator…..Syphilis!!
Treponema pallidum
Introduc<on
IN2016
SyphilisstagesEarly Late
Latent Latent
OhNO!Ocular Neuro OHc
ATANYSTAGE!
SyphilisTests
Non-treponemalTreponemal
• RPR• Followup
• VDRL• CSF
• SyphilisIgG/IgM• TPPA,MHA-TP,FTA-Abs
Once+,always+
Earlysyphilis
<1year
Symptoms
-ITIS
Pain
Earlysyphilis
SyphilisIgG/IgM─→+
SyphilisIgG/IgM+SyphilisIgG/IgM+
Once+,always+
RPRNR→+ RPR+ RPR+
Latesyphilis
>1year
Symptoms
Latent“Gumma”
Latesyphilis
Latent
Syphilisscreen+RPR+→NR
OhNO!
Tinnitus
Tabesdorsalis
-ITIS
Argyll-Robertson
Ocular Neuro OHc
OhNO!
Ocular Neuro OHc
RPR+/NRCSFVDRL+Pleocytosis
RPR+CSFVDRL+
SyphilisIgG/IgM+
RPR+CSFVDRL+
TreatmentsEarly Late OhNo!
X1PCN X3PCN X14IVPCN
SYPHILIS
SyphilisIgG/IgM
SyphilisIgG/IgM
RPR≥1:1
RPRNR
TPPA+
TPPA─
Once+,always+
PriorTx
NopriorTx