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Author Topic: Syphilis/HIV Treatment  (Read 734 times)

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Offline Electricfuse

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  • Posts: 14
Syphilis/HIV Treatment
« on: May 03, 2014, 08:20:11 AM »
Hello all,

I recently found out that I was HIV positive and had Syphilis. It was a big shock because the person I was dating said they had Chlamydia and suggested that I get tested too; which I didn't have. ...long story.

Anyway, has anyone experienced this situation before? How will having a coinfection effect my CD4 Count and Viral Load? I'm allergic to penicillin, so what type of treatment should I expect with this situation?

I see the ID Doctor in a few days and I'm sure my questions will be answered then, but I'm just a little anxious because this is a combination of two dangerous viruses on my immune system.

Offline Ann

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Re: Syphilis/HIV Treatment
« Reply #1 on: May 03, 2014, 11:45:17 AM »
I don't have any personal experience with syphilis treatment, but there's a seven page thread here that probably contains more information than you'll ever want to know about syphilis treatment.
Condoms are a girl's best friend

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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline cars7465

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Re: Syphilis/HIV Treatment
« Reply #2 on: May 04, 2014, 07:56:55 PM »
I had (have?) a co-infection of Syphilis and HIV as well. Diagnosed with both in January of this year. Also syphilis is bacterial, not viral. And try to relax. Yes you need to be treated, but you won't die tomorrow from it.
The syphilis had raised my VL, because my body was trying to fight 2 infections. By the time I saw my ID doc, it had dropped dramatically, from 105,000 to 20,000 because the syphilis reached the end of the first stage and my ID doc was the one who ran the test for it. My general doc only checked chlamydia and gonorrhea.
I am not allergic to penicillin, so I had two wonderfully painful shots in the rear for the syphilis. there are other antibiotics to treat it, but from what I understand they are not as effective and sometimes require additional treatments. But that's not to say they aren't effective at all. Just a bit more time consuming.
I will be monitored for a year (blood tests every 3 months) to make sure the treatment is working. And I'll have additional treatments if necessary to kill it off. Then I believe it will go to every year to make sure it stays suppressed.
Also, depending on how well you and your doc can date the possible infection, you may require more aggressive treatment.
One final point, once you have syphilis, you always have it. Treatment will not completely rid you of the bacteria but will reduce the level to a point where it does not affect you. The treatment will also make it not transmittable, so you won't have to worry about transmitting it to anyone.

Good luck at your appointment tomorrow. You'll be ok.

Offline Electricfuse

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Re: Syphilis/HIV Treatment
« Reply #3 on: May 06, 2014, 06:32:16 PM »
Hey Cars,

Thanks for the info. I found out that I'm not allergic to penicillin, so I got those wonderful shots in the butt. I feel relived just a bit. I was experiencing a mild rash which meant I had secondary syphilis. I got my blood work done and I will found out how far I am with the HIV infection in a few weeks.

Offline mecch

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Re: Syphilis/HIV Treatment
« Reply #4 on: May 06, 2014, 06:48:26 PM »
One final point, once you have syphilis, you always have it. Treatment will not completely rid you of the bacteria but will reduce the level to a point where it does not affect you. The treatment will also make it not transmittable, so you won't have to worry about transmitting it to anyone.

Can you verify for me this information. Or can someone else, please?

I know a person can have the antibodies after treatment.  But you are saying the infection remains.  I never heard this before.   ??? ??? ??? ???
“From each, according to his ability; to each, according to his need” 1875 K Marx

Online AusShep

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Re: Syphilis/HIV Treatment
« Reply #5 on: May 06, 2014, 08:16:13 PM »
Can you verify for me this information. Or can someone else, please?

I know a person can have the antibodies after treatment.  But you are saying the infection remains.  I never heard this before.   ??? ??? ??? ???

I think the other poster is confusing antibodies and/or the possible need for multiple treatments for late stage cure. 

The CDC site says it can be cured, but previous damage from latent/late stage syphilis won't be undone.

http://www.cdc.gov/std/syphilis/STDFact-Syphilis.htm
http://www.cdc.gov/std/syphilis/STDFact-MSM-Syphilis.htm

Offline cars7465

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Re: Syphilis/HIV Treatment
« Reply #6 on: May 07, 2014, 08:34:05 PM »
I think the other poster is confusing antibodies and/or the possible need for multiple treatments for late stage cure. 

The CDC site says it can be cured, but previous damage from latent/late stage syphilis won't be undone.

http://www.cdc.gov/std/syphilis/STDFact-Syphilis.htm
http://www.cdc.gov/std/syphilis/STDFact-MSM-Syphilis.htm

Yeah this is what I meant I guess. Perhaps I'm not clear in my own head.
Let me change what I said: Once you test positive for syphilis, you will always test positive, but based on where your numbers are, it's either an old infection, a new infection, or a re-infection. It's possible to have been treated and for it to come back. I'm not sure why this is, or what have you, but that's what I've been told by my doctor and the NYS health department. If this information is incorrect, I apologize.

Offline mecch

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  • red pill? or blue pill?
Re: Syphilis/HIV Treatment
« Reply #7 on: May 08, 2014, 04:11:45 AM »
If the treatment is successful, it does not "come back".  This is where I think you are misinformed. 

Untreated or unsuccessfully treated syphilis will come back. Those are the stages...

I piped in because you might be worrying about a few thing needlessly.  Its rational to worry about refection but the medical care should be able to tell you clearly, definitively if a syphilis infection has been cured, or not.
“From each, according to his ability; to each, according to his need” 1875 K Marx

 


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