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STDs (Expert Forum)
Follow up: STD Symptoms
Answered by
University of Washington
Seattle - WA
This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomoniasis, Warts, Yeast Infection.All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
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Follow up: STD Symptoms
by pce50, Oct 22, 2005 12:00AM
Hi Doctor, This is in reference to a previous post: [Q: STD symptoms - pce50: 10/02/2005 A: STD symptoms - Forum-M.D.-HHH: 10/03/2005].
I managed an HIV test [Home Access] and it’s negative at 120 days!
I have, as you recommend, made an appointment with a doctor [in 3 weeks!!]. I chose a Neurologist because I have neuro symptoms that started 30 days after the infection [neck pain, fasciculations, jerks at sleep time and burning paresthesias in the feet, arms and legs].
Because you thought my symptoms were potentially either syphilis, primary herpes [despite painless palatal ulcer] or HIV and I have ruled out HIV:
• Is it possible syphilis [latent + secondary] can also cause diffuse paresthesias and something akin to peripheral neuropathy?
• With syphilis, can the secondary stage occur just a week after infection and concurrently with a primary lesion?
Please be assured that I have not had sex with anybody since this occurred.
Thanks for the help!!
I managed an HIV test [Home Access] and it’s negative at 120 days!
I have, as you recommend, made an appointment with a doctor [in 3 weeks!!]. I chose a Neurologist because I have neuro symptoms that started 30 days after the infection [neck pain, fasciculations, jerks at sleep time and burning paresthesias in the feet, arms and legs].
Because you thought my symptoms were potentially either syphilis, primary herpes [despite painless palatal ulcer] or HIV and I have ruled out HIV:
• Is it possible syphilis [latent + secondary] can also cause diffuse paresthesias and something akin to peripheral neuropathy?
• With syphilis, can the secondary stage occur just a week after infection and concurrently with a primary lesion?
Please be assured that I have not had sex with anybody since this occurred.
Thanks for the help!!
Doctor's Answer
by H. Hunter Handsfield, M.D., Oct 22, 2005 12:00AM
, Oct 22, 2005 12:00AM
Just have a standard syphilis blood test, if not yet done; it will be reliable if done at least 8 weeks after acquiring the infection or 2-3 weeks after the oral ulcer. In the entire US, fewer than 5000 new cases of syphlis occur per year, except in gay men--so on that basis alone, the odds are very low. But to answer your specifc question, syphlis this recently acquried would not cause those symptoms. Accelerated secondary syphilis is extremely rare; the only case I have ever seen was in an HIV-infected gay man, and even it was not as rapid as one week.
Good luck-- HHH, MD
Good luck-- HHH, MD
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