Indonesia
A 30-year-old male asked:
I had rapid syphilis test at week 5, rpr at week 8, rapid syph 13 week, vdrl&tpha 16week after exposure all negative, but i have rash on hand and feet, also i consume azithromycin 500mg x 2pills at week 3, am i need retest for syphilis at week 24?
2 doctor answers • 3 doctors weighed in
Dr. Jay Parkanswered
Pediatrics 52 years experience
Negative VDRL & TPHA tests at 16 weeks post exposure assure you that you were not infected.
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed Sep 16, 2022
Dr. Hunter Handsfield commented
Infectious Disease 55 years experience
Stop testing. You do not have syphilis and never did.
Sep 16, 2022
Dr. Birendra Tandananswered
Urology 36 years experience
Your symptoms are not indications of Primary syphilis. Let a dermatologist see you. You do not need any more testing in my view
Created for people with ongoing healthcare needs but benefits everyone.
Answered Sep 21, 2022
Related questions
A 27-year-old male asked:
Vdrl (rpr) conclusive at 60 days post exposure? which involved handjob and breast sex(protected). No concerns for hiv but syphilis. had a little open sore on left knee after 3 weeks and painless rash on right knee aftr 5 weeks,gone in 5 days TYSM?
Dr. Gurmukh Singhanswered
Pathology 51 years experience
Visit this site for information on this topic: Syphilis window period:
https://www.e7health.com/post/155/std-test-window-when-should-i-get-tested/#:~:... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Sep 03, 2022
A 33-year-old male asked:
Dr Syphilis clear question exposure April 1 then taken z pak 3 days course 500mg per day may 30 ,31, june 1 test RPR neg at june 2, 54 days but then thought to retest so took again after 2 more months august around 120 days RPR neg so its conclusive?
Dr. Hunter Handsfieldanswered
Infectious Disease 55 years experience
The test result is conclusive: you do not have syphilis. However, the negative result cannot tell whether you were never infected (which is most like... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed Apr 24, 2023
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A 26-year-old male asked:
Had sex 13May, 20 day after i eat 2pills azithromycin x 500mg , if i get syphilis on 13 May will 2pills of AZ cure syphilis?, i had TPHA & VDRL test on 3,5 months the result is negative, if i get syphilis on 13 May and cure by AZ will TPHA result +?
Dr. Hiep Leanswered
Nephrology and Dialysis 44 years experience
Yes, once you are infected, the TPA stays positive indefinitely, treated or not. We call that positive test "serum scar" because the scar will not dis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Oct 03, 2022
Dr. Hiep Le commented
Nephrology and Dialysis 44 years experience
Provided original answer
This is your statement: "if i get syphilis on 13 May and cure by AZ will TPHA result +". So if you are not infected, TPA will be (-) but if you are infected, TPA will remain (+) forever.
Oct 3, 2022
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A 27-year-old male asked:
Hi doc, i have sex with fsw, 3 week after i have small wound on glans, i take a rpr test after 56 days, around 90 days rapid hiv&syph, 115 days vdrl & tpha cause my hand and soles rashes all the test negative, is that negative conclusive?
Dr. Bhaskar Raoanswered
61 years experience
Most likely yes
I believe the error rates are @5-7%
Bhaskar
Created for people with ongoing healthcare needs but benefits everyone.
Answered Oct 19, 2022
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A 33-year-old male asked:
Dr Syphilis question exposure April 1 tested RPR neg at june 2, 54 days but was on z pak a day before then due to antibiotics thought to test again, RPR test again aug 2 120 days its conclusive? Thanks?
Dr. Hiep Leanswered
Nephrology and Dialysis 44 years experience
Azithromycin on day 53rd should not affect the RPR result one day later so the test on day 54th should be conclusive. Assume you did not have RPR test... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed Sep 24, 2022
View all answers
Last updated Apr 26, 2023
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