Tampa, FL
A 23-year-old female asked:

My rpr test was a positive with a titer 1:1 for syphilis. what does that mean? is that bad?

1 doctor answer1 doctor weighed in
Dr. Hunter Handsfield
Infectious Disease 55 years experience
Syphilis testing: All syphilis is "bad": it is a very dangerous infection, even if causing no symptoms at this time. However, low positive results might indicate you were treated without knowing it, e.g. if you received certain antibiotics for other infections. Or it might be a false positive test, so confirmatory testing is needed. Discuss w/ your doctor, or best to see an STD or infectious diseases specialist.
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Related questions

A 23-year-old male asked:
STD expert: Have what appears to be a chancre on anus. Potential exposure on 10/2, got negative tests on 11/30 and 12/27 for syphilis. Test name: RPR (DX) W/REFL TITER & CONFIRMATORY TESTING. Am I good to rule out syphilis as the reason for the sore?
Dr. Birendra Tandan
Urology 36 years experience
Have means you still have the ulcer? If so pl see your doc and get examined for an accurate diagnosis instead of relying on your own. Yes syphilis ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
I was tested for syphilis. RPR was pisitive(1:1) and TPPA was negative. Does in mean i am infected?
Dr. Martin Raff
Infectious Disease 58 years experience
Syphilis: Probably not. The RPR is a screening test which is very sensitive but not as specific, so that you can have false-positive results. The TPPA is far mo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
I have tested as below 1. RPR 58 days, 82 days, 105 days. rapid test syphilis at 90 days, 95 days & 105 days . VDRL test 95 days & 105 days all test is negative ? will it turn to positive if i will test at 120 days ? are those test conclusive?
Dr. Hunter Handsfield
Infectious Disease 55 years experience
The results are conclusive. You have been seriously over tested. Stop.
Created for people with ongoing healthcare needs but benefits everyone.
View all answers
A 32-year-old female asked:
Should i get retested for syphilis if my RPR test came back positive?
Dr. John Leander Po
Infectious Disease 20 years experience
Where is 2nd part?: An appropriate syphilis test involves two stages: the RPR is done first- if positive, a confirmatory test such as an ' fta-abs' must be done. The 2-s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
View all answers
A 32-year-old male asked:
What kind of syphilis test would become positive first, RPR or cia?
Dr. Gurmukh Singh
Pathology 51 years experience
Need two tests: Generally two tests are needed to confirm diagnosis of syphilis, one VDRL/RPR and one specific antibody like MHTP. See this site for more info. http:... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 30, 2020
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