Can 18 days without symptom rule out syphilis?

summary

Latent syphilis was called latent syphilis in previous textbooks. The main reason for latent syphilis is that syphilis has not been treated, or the dosage of therapeutic drugs is insufficient, and the treatment is not thorough. The patient has no clinical symptoms and the syphilis serum reaction is positive. There is another case, the patient had some way of infection, but due to the patient's strong resistance, did not appear or only appeared very insignificant clinical symptoms, such as cervical chancre, since there has been no clinical manifestations, but syphilis serum is positive, this is latent syphilis. Can 18 days without symptom rule out syphilis? Let's talk about it.

Can 18 days without symptom rule out syphilis?

Latent syphilis refers to the patients who have been diagnosed with syphilis. In a certain period, there are no abnormal findings in skin, mucous membrane, any organ system and cerebrospinal fluid examination. Physical examination and chest X-ray are lack of clinical manifestations of syphilis. Cerebrospinal fluid examination is normal, but only syphilis serum reaction is positive, or there is a clear history of syphilis infection, and no clinical manifestations have ever occurred. Latent syphilis.

The diagnosis of latent syphilis should be based on the history of primary and secondary syphilis, the history of contact with syphilis and the history of infants with congenital syphilis. Previous Syphilis Serological Test negative results and history of disease or contact can help determine the duration of latent syphilis. Early latent syphilis occurred within 2 years after infection, late latent syphilis occurred more than 2 years after infection, and the other was latent syphilis with unclear disease stage. Latent syphilis does not appear symptoms because of the body's own strong immunity, or because of treatment, Treponema pallidum is temporarily suppressed. During latent syphilis, Treponema pallidum still appears intermittently in the blood. Pregnant women with latent syphilis can infect the fetus in the uterus. It can also be infected by blood donation.

The latent period of syphilis is 2-4 weeks. The clinical symptoms of primary syphilis are chancre and inguinal lymphadenopathy; The clinical symptoms of stage 2 syphilis are mainly skin damage and mucous membrane damage. In addition to skin and mucous membrane damage, stage 3 syphilis can also invade internal organs, especially cardiovascular and central system and other important organs. Therefore, syphilis patients should have regular laboratory examination, not only according to the symptoms subside, it can be considered that the disease has been cured, in order to prevent latent syphilis, which is equivalent to keeping a time bomb in the body.

matters needing attention

In daily life, we should keep clean, avoid non marital sex, multiple sexual partners and "one night stand"; The correct use of condoms with reliable quality is also an effective protective measure. Rapid syphilis screening in high-risk groups of sexually transmitted diseases (such as female sex workers, STD clinic population and gay men) is conducive to early detection and treatment of syphilis, and can reduce the transmission in sexual promiscuous population.