What Is Syphilis?

Syphilis is a bacterial STD caused by Treponema pallidum. It progresses through distinct stages if untreated.

Stages

  • Primary: painless sore (chancre) at infection site, 10–90 days after exposure
  • Secondary: rash (palms and soles), fever, fatigue, swollen nodes, 2–8 weeks after sore
  • Latent: no symptoms but bacteria remain in body
  • Tertiary: organ damage (brain, heart, eyes) years later

Testing

  • Blood test (RPR or VDRL screening + confirmatory FTA-ABS)
  • Reliable 3–6 weeks after exposure

Treatment

  • Penicillin G injection (single dose for primary/secondary)
  • Curable at any stage but tertiary damage may be irreversible
Source: CDC, American Sexual Health Association.

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