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AINA SYAHIRAH BINTI ALI BADERUDIN
NURUL SYAKIRA BINTI KAMARUDIN
NUR ANIS SYAFIQAH BINTI NORAZLI
HANI IZZATI SYAZA BINTI ISMAIL
NUR ATIKAH AMIRA BINTI RANI
SYPHILIS
SYPHILIS
BACKGROUND
 Is a sexually transmitted disease (STD)
 Disease progresses in stages
 May become chronic without treatment
ETIOLOGY/
RISK
FACTORS
Caused by
T.pallidum
Spirochete bacterium
Association with HIV
Cannot be viewed by
normal light
microscopy (Darkfield
microscopy)
Syphilitic lesions on
the genitals enhance
HIV transmission
Cannot be cultured in
vitro
Cockscrew-shaped,
motile microaerophilic
bacterium
Spread in utero
after 10th week of
pregnancy
PATHOGENESIS
Penetration
• T.pallidum enters the body via skin and mucous
membranes through abrasions during sexual contact
• Transmitted transplacentally from mother to fetus
during pregnancy
Dissemination
• Travels via the circulatory system
• Invasion of the central nervous system (CNS) can
occur during any stage of syphilis.
Etiologic agent: Treponema pallidum
SIGNS/SYMPTOMS
1. Primary Syphilis
 Lesion/”chancre”
 What is chancre?
-Progresses from macule to papule to ulcer
-Painless indurated lesion
2. Secondary Syphilis
 Blood-borne bacteria spread to all major organ systems
 Flu-like symptoms
 Mucous patches
 Bilateral symmetric rashes
 Condylomata lata (wart-like lesions)
3. Latent Syphilis
 Immune system is surpressing infection
 Showing no symptoms
4. Tertiary Syphilis
 Untreated patients are lead to the last stage of
syphilis
 Gummatous lesions
 Cardiovascular syphilis
INVESTIGATIONS
Clinical history
• History of syphilis
• Known contact to early case of syphilis
Physical Examination
• Oral cavity
• Palms and soles
• Genitalia & perianal area
• Neurologic examination
Laboratory diagnosis
• Identification of T.pallidum in lesion exudates or tissue
• Darkfield microscopy
• Test to detect T.pallidum
MANAGEMENT/TREATMENT
Penicillin
Allergic- other oral antibiotics
(Azithromycin)
PREVENTIONS
o Patient counseling and education
o Management of sex partners
o Screening recommendation
o Reporting
MANAGEMENT/TREATMENT &
PREVENTIONS

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Syphilis

  • 1. AINA SYAHIRAH BINTI ALI BADERUDIN NURUL SYAKIRA BINTI KAMARUDIN NUR ANIS SYAFIQAH BINTI NORAZLI HANI IZZATI SYAZA BINTI ISMAIL NUR ATIKAH AMIRA BINTI RANI SYPHILIS
  • 2. SYPHILIS BACKGROUND  Is a sexually transmitted disease (STD)  Disease progresses in stages  May become chronic without treatment
  • 3. ETIOLOGY/ RISK FACTORS Caused by T.pallidum Spirochete bacterium Association with HIV Cannot be viewed by normal light microscopy (Darkfield microscopy) Syphilitic lesions on the genitals enhance HIV transmission Cannot be cultured in vitro Cockscrew-shaped, motile microaerophilic bacterium Spread in utero after 10th week of pregnancy
  • 4. PATHOGENESIS Penetration • T.pallidum enters the body via skin and mucous membranes through abrasions during sexual contact • Transmitted transplacentally from mother to fetus during pregnancy Dissemination • Travels via the circulatory system • Invasion of the central nervous system (CNS) can occur during any stage of syphilis. Etiologic agent: Treponema pallidum
  • 5. SIGNS/SYMPTOMS 1. Primary Syphilis  Lesion/”chancre”  What is chancre? -Progresses from macule to papule to ulcer -Painless indurated lesion
  • 6. 2. Secondary Syphilis  Blood-borne bacteria spread to all major organ systems  Flu-like symptoms  Mucous patches  Bilateral symmetric rashes  Condylomata lata (wart-like lesions)
  • 7. 3. Latent Syphilis  Immune system is surpressing infection  Showing no symptoms 4. Tertiary Syphilis  Untreated patients are lead to the last stage of syphilis  Gummatous lesions  Cardiovascular syphilis
  • 8. INVESTIGATIONS Clinical history • History of syphilis • Known contact to early case of syphilis Physical Examination • Oral cavity • Palms and soles • Genitalia & perianal area • Neurologic examination Laboratory diagnosis • Identification of T.pallidum in lesion exudates or tissue • Darkfield microscopy • Test to detect T.pallidum
  • 9. MANAGEMENT/TREATMENT Penicillin Allergic- other oral antibiotics (Azithromycin) PREVENTIONS o Patient counseling and education o Management of sex partners o Screening recommendation o Reporting MANAGEMENT/TREATMENT & PREVENTIONS