Syphilis
☆ Tamin'ny valin'ny Stiftung Warentest 2022 avy any Alemaina, ny fahafaham-pon'ny mpanjifa amin'ny ModelDerm dia ambany kely noho ny fifampidinihana telemedicine karama.
Chancres ― aretina sifilitika voalohany amin'ny Treponema pallidum
References
Ny Syphilis dia aretina azo avy amin'ny firaisana ara-nofo vokatry ny bakteria Treponema pallidum. Amin'ity fanadihadiana ity dia mifantoka amin'ny marary 57 izahay 18-68 taona miaraka amin'ny sifilis faharoa.
Venereal syphilis is a multi-stage, sexually transmitted disease caused by the spirochetal bacterium Treponema pallidum (Tp). Herein we describe a cohort of 57 patients (age 18-68 years) with secondary syphilis (SS) identified through a network of public sector primary health care providers in Cali, Colombia.
Venereal syphilis is a multi-stage, sexually transmitted disease caused by the spirochetal bacterium Treponema pallidum (Tp). Herein we describe a cohort of 57 patients (age 18-68 years) with secondary syphilis (SS) identified through a network of public sector primary health care providers in Cali, Colombia.
Ny Syphilis dia otrikaretina bakteria vokatry ny Treponema pallidum. Afaka maka tahaka ny aretina isan-karazany izy io, ka mahazo ny anaram-bositra great imitator. Ny sifilis dia mbola misy fiantraikany amin'ny olona an-tapitrisany eran-tany saingy azo tsaboina amin'ny fomba mahomby amin'ny penicillin.
Syphilis is a systemic bacterial infection caused by the spirochete Treponema pallidum. Due to its many protean clinical manifestations, it has been named the “great imitator and mimicker.” Syphilis remains a contemporary plague that continues to afflict millions of people worldwide. Luckily, the causative organism is still sensitive to penicillin.
Syphilis is a systemic bacterial infection caused by the spirochete Treponema pallidum. Due to its many protean clinical manifestations, it has been named the “great imitator and mimicker.” Syphilis remains a contemporary plague that continues to afflict millions of people worldwide. Luckily, the causative organism is still sensitive to penicillin.
Treponema pallidum miteraka sifilis amin'ny alalan'ny firaisana ara-nofo na avy amin'ny reny amin'ny zaza mandritra ny fitondrana vohoka. Na dia misy aza ny fitsapana tsotra hamantarana azy ary ny fitsaboana amin'ny tifitra penicillin iray maharitra ela dia miasa tsara, lasa olana lehibe indray maneran-tany ny syphilis. Marina indrindra izany eo amin'ireo lehilahy manao firaisana amin'ny lehilahy (MSM) any amin'ny firenena manana fidiram-bola ambony sy antonony. Na dia nahatratra ny tanjon'ny OMS aza ny firenena ambany fidiram-bola sasany mba hampitsaharana ny fifindran'ny sifilis amin'ny reny mankany amin'ny zaza, dia misy ny fiakaran'ny sifilis mampanahy eo amin'ireo MSM mitondra ny tsimokaretina VIH.
Treponema pallidum subspecies pallidum (T. pallidum) causes syphilis via sexual exposure or via vertical transmission during pregnancy. Despite the availability of simple diagnostic tests and the effectiveness of treatment with a single dose of long-acting penicillin, syphilis is re-emerging as a global public health problem, particularly among men who have sex with men (MSM) in high-income and middle-income countries. Although several low-income countries have achieved WHO targets for the elimination of congenital syphilis, an alarming increase in the prevalence of syphilis in HIV-infected MSM serves as a strong reminder of the tenacity of T. pallidum as a pathogen.
Treponema pallidum subspecies pallidum (T. pallidum) causes syphilis via sexual exposure or via vertical transmission during pregnancy. Despite the availability of simple diagnostic tests and the effectiveness of treatment with a single dose of long-acting penicillin, syphilis is re-emerging as a global public health problem, particularly among men who have sex with men (MSM) in high-income and middle-income countries. Although several low-income countries have achieved WHO targets for the elimination of congenital syphilis, an alarming increase in the prevalence of syphilis in HIV-infected MSM serves as a strong reminder of the tenacity of T. pallidum as a pathogen.
(1) Mitombo ny atiny: Hita matetika izany ary mety hitranga miaraka amin'ny spleen lehibe. Ny fandinihana ny biopsy aty amin'ny microscopy darkfield dia mety hampiseho ny fisian'ny spirochete. Ny fitsirihana ny fiasan'ny atiny dia mety mampiseho tsy fahatomombanana. (2) Mavomavo ny hoditra (Jaundice) : Miankina amin'ny habetsahan'ny atiny no ahitana ny jaundice. (3) Orona mikoriana: Matetika no iray amin'ireo famantarana voalohany, matetika ao anatin'ny herinandro voalohany aorian'ny nahaterahana. (4) Fivondronan'ny lympha mivonto: Matetika koa ny fivontosana amin'ny ankapobeny, matetika tsy maharary. (5) Mamontsina amin'ny hoditra: Mipoitra matetika herinandro iray na tapa-bolana aorian'ny orona ny maina. Mety hahita tasy mena na mavokely kely ianao eo amin'ny lamosina, ny vodiny, ny feny ary ny faladiany. Ity maimaika ity dia mety hivoatra amin'ny peeling sy crusting.
(1) Hepatomegaly: This is the most common finding and may occur with splenomegaly. Biopsy of the liver followed by darkfield microscopy may reveal the spirochete. Liver function tests may be abnormal. (2) Jaundice: Jaundice may or may not be present depending on the extent of liver injury. (3) Rhinitis: One of the first clinical presentations, usually in the first week of life. Copious, persistent white discharge is noted, which contains spirochetes that can be visualized under darkfield microscopy. (4) Generalized Lymphadenopathy: Generalized, non-tender lymphadenopathy is also a common finding. (5) Rash: Rash usually appears one to two weeks after rhinitis. Small red or pink colored maculopapular lesions may be commonly seen on the back, buttocks, posterior thigh and soles of the feet. The rash progresses to desquamation and crusting.
(1) Hepatomegaly: This is the most common finding and may occur with splenomegaly. Biopsy of the liver followed by darkfield microscopy may reveal the spirochete. Liver function tests may be abnormal. (2) Jaundice: Jaundice may or may not be present depending on the extent of liver injury. (3) Rhinitis: One of the first clinical presentations, usually in the first week of life. Copious, persistent white discharge is noted, which contains spirochetes that can be visualized under darkfield microscopy. (4) Generalized Lymphadenopathy: Generalized, non-tender lymphadenopathy is also a common finding. (5) Rash: Rash usually appears one to two weeks after rhinitis. Small red or pink colored maculopapular lesions may be commonly seen on the back, buttocks, posterior thigh and soles of the feet. The rash progresses to desquamation and crusting.
○ Diagnose sy fitsaboana
Ny VDRL sy ny RPR dia azo ampiasaina hanamarinana ny otrikaretina vao haingana sy ny fitiliana ny syphilis. Ny fitsapana FTA-ABS dia fitsapana manokana ary azo ampiasaina hanamarinana ny tantaran'ny aretina teo aloha. Ny penicillin dia ampiasaina amin'ny fitsaboana syphilis.