Syphilis is a sexually transmitted infection caused by the spirochete bacterium Treponema pallidum. The primary route of transmission is through sexual contact.
The signs and symptoms of syphilis vary depending in which of the four stages it presents (primary, secondary, latent, and tertiary). The primary stage classically presents with a single chancre (a firm, painless, non-itchy skin ulceration), secondary syphilis with a diffuse rash which frequently involves the palms of the hands and soles of the feet, latent syphilis with little to no symptoms, and tertiary syphilis with gummas, neurological, or cardiac symptoms.
Syphilis can be effectively treated with antibiotics, specifically the preferred intramuscular penicillin G, or else ceftriaxone, and in those who have a severe penicillin allergy, oral doxycycline or azithromycin.
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