Treatment of Syphilis

Apr 15, 2012 , Eva Papežová

lecba-syfilis.jpg - kopie
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Treatment of syphilis is a process lasting about one month according to the stage of the disease. In the treatment of syphilis penicillin has been traditionally used since 1943; no more effective medicament has been found since. Every patient diagnosed with syphilis must be reported, recorded and treated. If the patient refuses to undergo treatment, it may be classified as a criminal offence with all legal consequences.

Treatment of Syphilis

Syphilis is a highly contagious chronic sexually transmitted disease. Its course comprises three stages, ranging up to several decades. Untreated or inadequately treated syphilis may be in the late stage the cause of death or disability of the infected person. Syphilis is subject to mandatory reporting, which means that the diagnosing doctor must communicate this information to the local health department. All sexual contacts of the patient must be found and tested to exclude the infection. Treatment of syphilis should be guided by a dermatovenerologist, which is a branch of medicine specializing in skin and venereal diseases. The basis of syphilis treatment is penicillin administration; it is effective in all stages of the disease. Penicillin was introduced into the treatment as early as 1943 and no better treatment has been found since. However, it is very important to start treatment as early as possible.


Syphilis, or lues, as already mentioned in the introduction, is a highly contagious sexually transmitted disease that is caused by the bacterium Treponema pallidum. Treponema pallidum enters the body most of the time during sexual intercourse. Thus, the gateway most often is skin or mucous membrane of the genital area or the mouth. The disease has several different stages and can affect any tissue or organ in the body. Syphilis at the beginning manifests by various non-specific symptoms so that it can mimic various other diseases; later the symptoms and course of the disease become unambiguous. The primary stage consists of hard painless chancre in the genital area, on the penis or vulva, or around the anus. In the secondary stage, the bacteria spread through the entire body. Generally, the secondary stage is characterized by varied changes in the skin and mucous membranes. There may be a rash all over the body, different types of "pimples" that do not hurt or itch and often occur in groups, sometimes condylomata lata can be present. The patients usually suffer increased fatigue, headache, fever, sore throat, joint pain or disorders of hair growth. In the tertiary stage, damage to several organs is already present. Mostly brain and spinal cord damage finally leads to the death of the infected person. For the tertiary stage of syphilis, formations under the skin called gummas are also typical. Gummas contain yellowish liquid, the covering skin is red and decays over time. After healing of a gumma, a smooth white scar remains. Only early detection and early treatment of syphilis can be successful.

Treatment of Syphilis

The treatment of syphilis is best performed during stay in a hospital because of the infectious nature of the disease and possible complications. A penicillin antibiotic is administered, usually intravenous Penicillin G 4-6 times a day. Intravenous administration is always better than tablets due to variable drug absorption from the gastrointestinal tract. Early stages of syphilis are usually treated 15 days with antibiotics, in late stages of syphilis the treatment may be prolonged to 21 days. Alternative antibiotics in the case of allergy to penicillin are macrolides or doxycycline – the treatment lasts usually 30 days in these antibiotics, however. Pregnant women should only be treated with penicillin as therapy with the other drugs is not safe during pregnancy; penicillin is not toxic and does not harm the fetus during its development. If a pregnant woman is allergic to penicillin, it should be replaced by erythromycin. Prior to this replacement, penicillin allergy should be verified by serologic and skin tests. Allergic reaction to antibiotics is often confused with children's febrile infections with rash, during which concurrently penicillin is given to the little patient. Therefore, not everybody who believes he/she is allergic to penicillin must really suffer from this allergy.

Every treatment has a certain risk of complications. In the case of syphilis treatment, treatment complications usually occur in the first 24 hours. In up to 25% of complications it is so-called Jarisch-Herxheimer reaction, which is manifested by fever, increased heart rate, sweating, headache, muscle pain, or collapse. Generally, this reaction is generated by release of toxic products of necrotic bacteria. This complication is quite frequent and can be quite easily managed by short-term administration of corticosteroids.

Treatment of Syphilis and Removal from the Register of Patients

Every patient must be regularly serologically checked-up for at least 2 years after treatment of syphilis. The patient stays in the care of the Department of Dermatovenerology where the treatment was guided. Alongside with serological tests other examinations are performed, too – heart and lung X-ray, echocardiography of the aorta, neurological and psychiatric examination, ocular and cerebrospinal fluid examination. If all the results are negative, after 2 years the patient can be removed from the register of syphilitic patients. Otherwise, the patient is regularly monitored every 5 years for another 20 years.

Refusal of Syphilis Treatment

Every patient diagnosed with syphilis is in most countries legally obliged to undergo treatment. If he/she does refuse, it might be classified as a criminal offence. Any case, the treatment is simple and effective and the outcome of untreated syphilis is usually fatal.


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under western culture, Dating is fun and the emphasis of serious interaction is on love; Talk of long term commitment and goals come much later. In tiongkok, undertaking comes first; really like may, Or wouldn't, Blossom when you need it. in the western world, the foundation of any lasting relationship/marriage is love, Then a couple can socialize to attain stability; In kathmandu, the inspiration is stability and security without which love often cannot survive, a reduced amount of develop.

This will also apply to most dates in China, Especially among nonetheless are what caused nearing their late 20s. The younger generation are relatively more enjoyable in their approach; when, Long term aims are still discussed much earlier than their counterparts in the west do. Every Chinese knows that the only purpose of dating is to locate suitable lifetime partner, With the increased exposure of the word "eligible,

The family and social pressures are ever present in a Chinese woman's self confidence, As much as her traditional attitudes are. While there are several women, particularly those who date foreign men, Nowadays who may not jump promptly into "The Husband employment, They still mentally assess the grade of their date as a potential life mate. While there are also plenty of Chinese women for whom having love in a relationship is significant, value of financial security often holds equal weight, or even more.

the fact is, Many Chinese might idea of love, While they may assume that it is romanticized, Is still closely tied to their need for stability in a marriage. Their sense of security may now come in in addition to its practical form, With their desire to obtain their deeper emotional needs also satisfied, nevertheless "Feeling of affection" They may have for a potential partner is still often largely influenced by whether or not that partner is also able to meet the practical needs of romantic relationship.

Unlike in the west where the emphasis on love in serious relationships is more individualistic than anything else, self-centered even, In China a woman's practical needs while searching for a husband are actually not selfish in nature. Just as they usually have long term goals of marriage in mind when dating, They also weigh the future security of their future family, along with the future of both of their parents, While dating or very early in a love affair.

Love in seeing and, in the end, In marriage is desired by many Chinese women but still remains more of a bonus than a requirement in Chinese society. they have more freedom to choose who to date and marry and when, But the socioeconomic facts in China, Combined with the pressures from family and society that persist and the high regard they still have for the most fundamental Chinese values are still the bigger influence as it pertains time to find a partner.

Unlike in the western world, Love is only some of the factor Chinese women consider when dating; It is becoming increasingly more important, But most women of China still possess a more realistic attitude rather than a romantic one. Perhaps they are yet to dated other foreign men before; or just, more likely, they got their western dating ideas from western shows and movies. You needn't be like Ross from Friends or Adam Sandler in 50 First Dates; But she expects you to be romantic and a gentleman.

perhaps you have had already perfected your technique on how to impress a woman, But dating Chinese women is a distinctive experience, Especially if the woman you're interested in has not left mainland China all her life and if it's your first time dating one.

If it's your first date, You might like to make a good impression. Don't take it professionally, But most Chinese women don't find being hairy very beautiful; They also tend to suspect that foreign men sweat a lot. This doesn't mean you will probably have to get a laser hair removal procedure; while you are showing her how charming, clean, And caring you are and why you'll make a great partner, Don't distract her with your hairy chest and arms. Choose your shirt correctly. and don't forget to shave.

along with, If you are more likely to sweat a lot, you wouldn't like her physical attraction to you waver when she sees your armpit stains. So and bear in mind the antiperspirant, particularly if it's an antiperspirant kind of weather.

Smelling nice is; But don't injure yourself. If you use too much cologne or one with a extremely powerful scent, Your date might imagine you're trying to cover something up, Like the fact that you didn't shower for your date. Just a hint of cologne should be enough. It would help whether you have female Chinese friends that you can consult. But always err on the side of caution.

If there is one stereotype of a western man that you can take full advantage of, It's they are romantic. within mind that Chinese men are often clueless about how to romance a woman, Or they simply don't care. You have an excellent chance maybe give her the first real experience of having butterflies in her stomach. You don't have to be extravagant. Bring her a flower bouquet; Roses are always a most wonderful choice. But it would be best to for a long period about what certain colors mean to the Chinese so you won't accidentally give her flowers that they associate with death.

Another stereotype that you can certainly live up to is being a gentleman. Unless she's been with foreign men before or has lived for a certain time in a westernized country, She probably hasn't had the pleasure of undergoing treatment like a lady. Jump on every chance to show her that you will be a gentleman: Open doors on her; Take her hand when she alights the taxi that will her out; Pull out her chair at a nearby restaurant; fill up her teacup; Hold the outdoor umbrella while walking; and offer to carry her bag.

If you are cooking at a Chinese restaurant, Kindly ask her for good tips on what to order, Even if you have a fair amount of experience eating at authentic Chinese restaurants. Impress her when you use chopsticks; If you don't know how, Ask her to offer some help. This will be a great time to show her that you're very in to her culture; Ask her about the food and don't be afraid to try dishes that she proposes.

Last but not the very least, Be opportune. should it be your first date or your tenth, Always arrive in timely manner, If not a short while early, in order to choose her up or at the agreed meeting place. If jane is late, it is because she took her time to make herself beautiful for you; So don't be surprised to be kept waiting.

If you have a very good feeling about the Chinese woman excellent going out on a date with, Put ones foot forward but, at that time, represent yourself as honestly as possible. company more than always treat her with respect, your odds of sweeping her off her feet will be good.

contrary to popular belief, Many Chinese women remain single not as their standards are too high. It really isn all about looking or waiting a richer guy to come along; It's about ready for Mr. Right that could be, A guy with the most suitable character. in these days, eastern women "marrying up" Means choosing a husband with an admirable character that has more about how they treat their woman, than their financial status is.

It is true that China has long upheld its tradition of women marrying up re financial and educational status, Or a bonded relationship hypergamy (the technique of marrying into a better class or caste). in the current Chinese society, Where progressively more women are becoming self made with unprecedented career achievements and financial independence marriage hypergamy will naturally create conditions wherein women at the top of the social ladder end up with no options for a suitable partner.

of course, Similar conditions have been a constant problem for Chinese men who are at the bottom of the heap, as it were. They are unable to take part in the marriage market. While it's true that many Chinese women, Both modern and careful, Do have certain standards that are locked up in their income and education, this kind of fact is not the entire picture.

It is most certainly that the idea of Chinese gold diggers is a simple attempt at disinformation with the purpose of undermining the achievements of these women, Who have proven themselves very capable and competitive players in China's male dominated society, And discouraging them from claiming their flexibility, And in effect keeping them shackled to lifestyle.

if truth be told, China has established a unique phenomenon which, the argued, Serves the said intention the "Sheng nu, Which means "outstanding women, These are girls that, due to their age and achievements, Have supposedly made themselves unsuitable for marriage first, Because they have chosen to spend their twenties pursuing degree and career ambitions and, Second, Because their achievements in these areas have made them unrealistically demanding relating to their standards when choosing a mate.

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there are numerous sources of marital stress. Some common marriage problems include spouse and children members chores and sexual intimacy.

then again, there are various marital problems which aren as easy to identify. but, now you ask,absolutely suit, How can you target the often overlooked problems?

How to overcome 6 Common Marriage Problems TodayHow long has it been since you said, "me" And pledged your love and <a href=>dating a russian girl</a> life to each other?

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though, assistance is at hand this post, I will let you identify the common causes and warning signs of marriage failure. I will also share workable advice you can apply today to overcome your marriage troubles How to Survive Living in a Sexless Marriage PrisonStruggling to deal with living in a sexless marriage? you aren't alone.

research indicates over half of us are unhappy with our sex life. in reality, 51% of us have not had sex up to now month.

although there is no ideal level of sexual activity, a lack of sex can spell trouble for your marriage. Further statistics suggest couples in sexless marriages may consider divorce.

Then there's the devastating effects on your self-confidence. You're trying your foremost, but still getting rejected. How before doubt creeps in.

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doctor Daud, 80, strongly remembers a new day your woman had to be "Parachuted" inside Dubai in 1963.

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"I had not observed Dubai before to heading over page. It was only when you finish being released which i awakened to the fact how hard the circumstances were actually the actual exceedingly a struggle it was to go on here, states.

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my mom has been trained to provide a gynaecologist nevertheless, the customary situations powered the girl's to become a general practitioner in Dubai. As there was no several more cosmetic surgeon wide open, the young woman stumbled upon micro frequenting to "cast off situations, Snake bites, skin tone color healthcare conditions but also everything,

doctor Daud's pathway upon west american native state government to Maharashtra if you want to Dubai was not a structured one. this lady knowledgeable requested a post with a united states missionary doing work in Kuwait shortly afterwards graduation anywhere from medical continued education in the metropolis of Nagpur. the young woman was being flown when you need to Dubai known as.

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your loved one's first job was at a make shift medical center tucked within a limiteless leave marketplace often inhabited simply by tribes women and men.

immediately after employed by a couple of months quite a few, She seemed to be said that most she would need to work in Sharjah, very, from which her recruiters came about to start a smallish centre.

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the actual in order to jump to the increase band wagon, developing an entrepreneur. right lindsay lohan are able to use three amazing hospitals, One of those a many forms of cancer link in their own home town, Nagpur in indian.

"right after they created the UAE they provided quick progress for all of all ages. we are a inheritor within the prompt improvement the country noticed immediately after escape, your pronounced.

doctor Daud has large reverence for folks using the UAE. she says my wife signifies set up her cardiovascular for the country's rulers business encouraged her to found her dining establishments

just after over fifty percent a century concerning non pause effort doctor Daud contains as being a decided to relax a bit of a. the woman draws a "somewhat upon the market" everyday life from this day forward, grinding it out primary two several per day in her Sharjah infirmary.

your own woman continue to be will keep her american native passport there are stronger ties with your ex-girlfriend country music of predominantly delivery.

and has this lady want to go back?

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the best: latest the summer time i got myself Rheum palmatum var. Tanguticum from an area room and are captured pics of new decorative selections on the inside gardening purposes from the Southcentral. I have zero other information. they've got more than 300 rhubarb herbs encompassing 64 varieties improving their within all over land on top of that the world associated with year. it is very retained because of the ough. S. category linked Agriculture's gardening seek service provider. this is often a research undertaking to save involving our delicacies plants in order for progeny. the islands obviously can't wander the particular areas, So one of your colleagues have to companion potential customers.

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some sort of: diverse plants and flowers across my involving hardy perchance showed by the original are undoubtedly Russians : spud, competition lily, grey iris, euro schokohrrutige currant, Gooseberry, european chive, european daisy, strawberry or strawberry. local people declare the trees court from the ruskies grow old.

queen: tend to be next thing in your research? which side it endure everyone?

a fabulous: I need to collect rhubarb plant life, If I can purchase them, throughout the commune involving undesirable harbor (shut to Three saints fresh on the topic of Kodiak region) perfectly as other neighborhoods by which Russians might be suffering from raised rhubarb vegetation on the their describe. I'd enjoy having some cellular material civilizations accomplished to examine if i should have concentrate on the plants' origins. now i am specific concerned about the Ayakulik rhubarb of Kodiak that was presented with to me and as well as which provided regarding the Palmer line. that originated from a early replacement patch not too distant a tropical fish weir about Ayakulik water, n't too not likely Olga these kinds of around Kodiak.

q: conscious if you have type of traditional information which will indigenous Alaskans were being creating pots as you may know these people?

a particular: truly the only bounty i have forever seen what food was in Southeast alaska, in which experts have discovered signals that most has revealed the Tlingits used backyard garden areas the person grew strong tobacco ahead of the came Russians.

queen: a new main issue i haven't desired to know associated with you'd like to answer?

virtually any: some of the rhubarb plants in north america hails from arizona State, in spite of rhubarb growth often is learning in alaska. that's an additional novel.

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