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Hello Doctors, Im Curious To Seek For Your Kind Inputs
Question: Hello Doctors,
Im curious to seek for your kind inputs towards medical test results of my friend (age:26). Recently he was coming across too much pain in the head every morning he wakes-up. Due to this heavy pain the head , he managed to consult the doctor and based on their advice he has given the blood towards tests like 'VDRL' and 'TPHA' , below are test results.
TPHA - Positive (1:160)
VDRL - SEROLOGY Re-active (Method: Agglutination )
im not sure of the result of these test observation as im from engineer background . I would like to request you all medical experters to help me understand his present health condition and attention that is required to overcome his illness.
I would really appreciate if you can please advice me on precations that needs to be taken to oversome this health hazard.
Many Thanks
Im curious to seek for your kind inputs towards medical test results of my friend (age:26). Recently he was coming across too much pain in the head every morning he wakes-up. Due to this heavy pain the head , he managed to consult the doctor and based on their advice he has given the blood towards tests like 'VDRL' and 'TPHA' , below are test results.
TPHA - Positive (1:160)
VDRL - SEROLOGY Re-active (Method: Agglutination )
im not sure of the result of these test observation as im from engineer background . I would like to request you all medical experters to help me understand his present health condition and attention that is required to overcome his illness.
I would really appreciate if you can please advice me on precations that needs to be taken to oversome this health hazard.
Many Thanks
Brief Answer:
TPHA AND VDRL POSITIVITY
Detailed Answer:
Hi...
Welcome to "Ask a Doctor" service.
I am Dr Ajeet XXXXXXX
I have gone through your query and here is my opinion.
VDRL and TPHA are good primary screening tests for syphilis at all stages (primary,secondary,tertiary,latent or neuro syphilis).
Venereal disease research laboratory (VDRL) test and TPHA (Treponema pallidum haemagglutination test) detect if a person has been infected with the bacteria Treponema pallidum which cause syphilis.
They detect the antigen and antibodies against that antigen,in the blood sample.
Patient may require further confirmation tests of body fluids and CSF examination (very likely in your friend's case)
Syphilis is a sexually transmitted disease which may be asymptomatic or may present as symptoms like rash,genital sores,oral sores,muscle pain,sore throat,fever,swollen lymph nodes,headache,giddiness,weight loss,fatigue etc.
Please visit a clinician who would go for further evaluation and investigations.
If the diagnosis is established,your friend may need
a single intramuscular injection of long acting Benzathine penicillin G which cures a patient with primary, secondary or early latent syphilis.
Unfortunately the sequel of syphilis are not reversible.
Time being he should abstain from sex(unsafe sex specifically),maintain monogamy and use a barrier device(condom).
He should maintain a good hygiene.
Keep himself well hydrated and abstain from drugs and alcohol.
Hope that I have answered your Query.
Stay healthy and stay blessed.
Regards.
TPHA AND VDRL POSITIVITY
Detailed Answer:
Hi...
Welcome to "Ask a Doctor" service.
I am Dr Ajeet XXXXXXX
I have gone through your query and here is my opinion.
VDRL and TPHA are good primary screening tests for syphilis at all stages (primary,secondary,tertiary,latent or neuro syphilis).
Venereal disease research laboratory (VDRL) test and TPHA (Treponema pallidum haemagglutination test) detect if a person has been infected with the bacteria Treponema pallidum which cause syphilis.
They detect the antigen and antibodies against that antigen,in the blood sample.
Patient may require further confirmation tests of body fluids and CSF examination (very likely in your friend's case)
Syphilis is a sexually transmitted disease which may be asymptomatic or may present as symptoms like rash,genital sores,oral sores,muscle pain,sore throat,fever,swollen lymph nodes,headache,giddiness,weight loss,fatigue etc.
Please visit a clinician who would go for further evaluation and investigations.
If the diagnosis is established,your friend may need
a single intramuscular injection of long acting Benzathine penicillin G which cures a patient with primary, secondary or early latent syphilis.
Unfortunately the sequel of syphilis are not reversible.
Time being he should abstain from sex(unsafe sex specifically),maintain monogamy and use a barrier device(condom).
He should maintain a good hygiene.
Keep himself well hydrated and abstain from drugs and alcohol.
Hope that I have answered your Query.
Stay healthy and stay blessed.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks for the quick reply Dr Ajeet XXXXXXX
Im interested to know the criticality of these medical test observation. Based on those test results, are they critical in nature? and/or require immediate or urgent attention to be taken care off . Please clarify.
Also i know him personally and i spoke to him personally ,he never happen to have sexual relation. Im unable to understand the cause of this medical test result. Could you please enlighten me little bit ? are their any other sources of this TPHA / VDRL medical test result other then sexual relation .
I noted your advice interms of injection that is required. How long does it take to cure this disease.
I will look forward to hear from you soon.
Thank you again.
Im interested to know the criticality of these medical test observation. Based on those test results, are they critical in nature? and/or require immediate or urgent attention to be taken care off . Please clarify.
Also i know him personally and i spoke to him personally ,he never happen to have sexual relation. Im unable to understand the cause of this medical test result. Could you please enlighten me little bit ? are their any other sources of this TPHA / VDRL medical test result other then sexual relation .
I noted your advice interms of injection that is required. How long does it take to cure this disease.
I will look forward to hear from you soon.
Thank you again.
Brief Answer:
TPHA/VDRL POSITIVITY
Detailed Answer:
Welcome back.
Syphilis is a bacterial infection which is usually spread by sexual contact (may be oral,vaginal or anal).
The only other way of it's transmission is through infected blood transfusion (and vertical transmission from pregnant mother to her fetus).
The transfusion history of your friend might be significant.
Yes.....It is a matter of real concern and should be addressed immediately.
Late stages of syphilis may damage vital organs of body.
Complications include dementia,stroke,paralysis,numbness,blindness,pathological fractures of bone,skin lesions,heart attack and even death.
Unfortunately,the complications of syphilis are not reversible and they can only be prevented by early treatment.
It would be possible to tell the time required for recovery,only after knowing the staging and prevalence of disease.
Your clinician would be in a better position to tell that (after complete evaluation).
Regards.
TPHA/VDRL POSITIVITY
Detailed Answer:
Welcome back.
Syphilis is a bacterial infection which is usually spread by sexual contact (may be oral,vaginal or anal).
The only other way of it's transmission is through infected blood transfusion (and vertical transmission from pregnant mother to her fetus).
The transfusion history of your friend might be significant.
Yes.....It is a matter of real concern and should be addressed immediately.
Late stages of syphilis may damage vital organs of body.
Complications include dementia,stroke,paralysis,numbness,blindness,pathological fractures of bone,skin lesions,heart attack and even death.
Unfortunately,the complications of syphilis are not reversible and they can only be prevented by early treatment.
It would be possible to tell the time required for recovery,only after knowing the staging and prevalence of disease.
Your clinician would be in a better position to tell that (after complete evaluation).
Regards.
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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