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Both Jarisch and Herxheimer observed reactions in patients with syphilis treated with mercury. The reaction was first seen following treatment in early and later stages of syphilis treated with Salvarsan, mercury, or antibiotics. Jarisch thought that the reaction was caused by a toxin released from the dying spirochetes. [11]
Intravenous penicillin has been the primary treatment for syphilitic aortitis since the 1940s. The underlying bacterium of syphilis, T. pallidum, continues to be sensitive to penicillin as the lack of horizontal gene transfer mechanisms makes it difficult for the bacterium to mutate and resist treatment. [ 4 ]
Generally, diseases outlined within the ICD-10 codes A50-A64 within Chapter I: Certain infectious and parasitic diseases should be included in this category. Wikimedia Commons has media related to Infections with a predominantly sexual mode of transmission .
Intravenously administered penicillin is the treatment of choice. Associated pain can be treated with opiates , valproate , or carbamazepine . Those with tabes dorsalis may also require physical therapy and occupational therapy to deal with muscle wasting and weakness.
Treatment of suspected congenital syphilis is with penicillin by injection; benzylpenicillin into vein, or procaine benzylpenicillin into muscle. [3] [10] During times of penicillin unavailability, ceftriaxone may be an alternative. [10] Where there is penicillin allergy, antimicrobial desensitisation is an option. [10] [12]
Researchers told them they were to be treated for “bad blood,” a catch-all term used to describe several ailments, including anemia, fatigue and syphilis. Treatment at the time consisted ...
General paresis, also known as general paralysis of the insane (GPI), paralytic dementia, or syphilitic paresis is a severe neuropsychiatric disorder, classified as an organic mental disorder, and is caused by late-stage syphilis and the chronic meningoencephalitis and cerebral atrophy that are associated with this late stage of the disease when left untreated.
Bejel, or endemic syphilis, is a chronic skin and tissue disease caused by infection by the endemicum subspecies of the spirochete Treponema pallidum. Bejel is one of the "endemic treponematoses" ( endemic infections caused by spiral-shaped bacteria called treponemes ), a group that also includes yaws and pinta .