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Why Doctors Call Syphilis the Great Pretender

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Syphilis is a bacterial infection transmitted through sexual contact and is one of the primary sexually transmitted diseases identified by the World Health Organization (WHO).

The causative agent is a spiral-shaped bacterium called Treponema pallidum. This pathogen can lie dormant in the human body for months or even years, earning syphilis the moniker “the silent infection.”

Syphilis progresses through four stages: primary, secondary, tertiary, and latent, each defined by the time since the initial infection. 

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In the primary stage, painless sores appear at the infection site, typically the genitals, mouth, or anus. These lesions often heal on their own, leading many to mistakenly believe they’ve recovered. However, this apparent healing signals the disease’s progression to internal systems.

The secondary stage is characterized by a widespread red rash, often accompanied by swollen lymph nodes, fever, and muscle aches. Without treatment, the infection can advance to tertiary syphilis, where the bacteria infiltrate vital organs like the brain, heart, blood vessels, and eyes. At this stage, treatment becomes challenging, and the condition can be life-threatening.

Most alarmingly, syphilis remains contagious even during its latent stage. Pregnant women with syphilis risk transmitting the infection to their unborn child, potentially resulting in congenital syphilis. This highlights the critical importance of regular prenatal check-ups.

The good news is that early detection of syphilis allows for complete cure. Diagnosis is straightforward, requiring only a blood test, and most cases respond well to penicillin injections.

However, many individuals unknowingly spread the infection or delay treatment, allowing the disease to become chronic.

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Shutterstock

Medical professionals stress that the disappearance of symptoms doesn’t signify the end of syphilis. Proper treatment and follow-up care are essential.

For those who are sexually active with multiple partners or exposed to high-risk environments, regular screenings are crucial.

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