Tertiary syphilis is the final stage of syphilis, a sexually transmitted infection caused by Treponema pallidum. It occurs years after initial infection, potentially affecting multiple organ systems, including the heart, brain, and nervous system.

Tertiary Syphilis FAQ


Is tertiary syphilis contagious?

No, tertiary syphilis is not contagious as the infection is no longer active.

What are common symptoms of tertiary syphilis?

Symptoms include heart problems, neurological issues, and gummatous lesions.

How is tertiary syphilis diagnosed?

Diagnosis involves blood tests (TPPA, FTA-ABS) and clinical evaluation.

Can tertiary syphilis be cured?

Yes, with antibiotics like penicillin, though damage may be irreversible.

What happens if tertiary syphilis goes untreated?

It can lead to severe complications like aortic aneurysms or dementia.

Is treatment for tertiary syphilis the same for all patients?

Treatment may vary based on the patient's health status and allergies.

Can I get tertiary syphilis without experiencing earlier stages?

No, it progresses from primary to secondary, then latent stages.

How long after infection does tertiary syphilis develop?

It typically occurs 10-30 years after the initial infection.

Can penicillin allergy affect treatment options?

Yes, alternatives like doxycycline or ceftriaxone may be used.

What is the role of lumbar puncture in diagnosis?

It helps assess neurological involvement by testing cerebrospinal fluid.

Are there support groups for tertiary syphilis patients in Malaysia?

Yes, organizations like the Malaysian AIDS Council offer support.

How often should I follow up after treatment?

Regular follow-ups for at least 2 years to monitor response and complications.

Can tertiary syphilis treatment interact with other medications?

Yes, inform your doctor about all medications to avoid interactions.

Is tertiary syphilis more common in certain populations?

It's more prevalent in those with untreated syphilis, often men who have sex with men.

What are the chances of full recovery with treatment?

Treatment halts progression, but existing damage may be permanent.

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