Syphilis Flashcards

1
Q

What causes syphilis?

A

Treponemia pallidum bacteria

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2
Q

What is different about the bacteria that causes syphilis?

A

Treponemia pallidum is a spirochetes bacteria, it has a long generation time (takes 30 hours to double - compare with E. coli which takes 30 minutes)

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3
Q

How is syphilis spread?

A

contact with lesions and secretions, it can also cross the placenta

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4
Q

Does syphilis have an incubation period?

A

yes, 10-90 days

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5
Q

Is syphilis a local infection?

A

no, it divides and distributes systemically

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6
Q

What complications can syphilis cause?

A
  • blindness
  • paralysis
  • heart disease
  • death
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7
Q

What occurs in the first stage of syphilis?

A
  • painless chancre at exposure site that heals in 3-12 weeks

- regional lymphadenopathy (swollen lymph nodes)

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8
Q

What occurs during the second stage of syphilis?

A
  • occurs 6-8 weeks after infection
  • can last up to 6 months
  • lesions are very characteristic: maculopapular rash on palms and soles, white patches on mucous membranes (ex. tongue), flat papules
  • generalized lymphadenopathy
  • fever, malaise
  • can become latent before moving to next stage, during first couple of weeks the patient will still be infectious though
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9
Q

What occurs during the third stage of syphilis?

A
  • usually occurs 1-35 years after primary infection, but can be as many as 50 years later
  • only occurs if initial infection is not treated
  • irreversible damage to bone, joints, CNS, NS
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10
Q

How is syphilis treated?

A

long-acting penicillin

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