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Syphilis

Bryan Applications, S

A highly contagious disease, syphilis is caused by the spirochaeta pallida, or treponema pallidum, a germ resembling a tiny thread twisted like a corkscrew. This is communicated by contact with an infected surface, which is generally brought about by sexual connection, but may occur in kissing, sucking or touching syphilitic sores. Sometimes the contact is indirect, as in drinking from a glass that has been used by an infected person and not washed.

After an incubation period, lasting on the average about four weeks, though it may be as many as six, what is called the primary sore appears on the site of infection. When developed it takes the form of a round, flattened elevation, the base of which feels firm as if gristly. The surface is slightly ulcerated, and exudes a slight watery discharge which may dry into crusts or scales, though sometimes the surface is smooth and shiny, and there is no discharge. This sore is described as the hard, or Hunterian, chancre (after the Scotch surgeon, John Hunter). In some situations, notably on the lip, ulceration may be more active, with a free discharge which dries into a scab. Generally there is only one sore, but there may be more. With the development of the sore the neighboring glands become enlarged.

About six weeks to within three months after the appearance of the primary sore, the symptoms of the secondary stage make their appearance. There may be fever and this may be considerable, but often there is none. The patient may be conscious of depreciation in his general health, or may feel about as well as usual. There is a general enlargement of lymphatic glands all over the body, the superficial glands feeling like hard, shotty nodules. A rash also appears, usually having a resemblance to that of measles, but it may consist of papules or of pustules. The front of the chest and abdomen are generally first affected, but the rash usually becomes distributed over other parts of the body.

The throat feels sore, and the tonsils will be found to be enlarged with the appearance of snail-tracks upon the surface, caused by the superficial ulceration, and there will probably be mucous tubercle or patches, that is, white spots, on the tongue and the inside of the lips and cheeks. The hair falls out, producing a general thinning described as syphilitic alopecia. Within six months of the beginning of the disease there may be iritis, inflammation of the colored curtain of the eye. One eye may be affected first, but both usually suffer. The eye looks reddened and swollen, and there is probably severe neuralgic pain.

Parasites in second arid third stages:

In the secondary stage there is more or less copious infection of the blood with the parasites, but these gradually disappear, and this stage merges into the third, or tertiary stage, in which, although the blood is free, parasites lurk in different parts of the body. From time to time, but perhaps as late as twenty or thirty or more years after infection, parasites in some such haunt may give rise to a swelling described as a gumma, which is liable to break down and ulcerate. As this may happen anywhere in the body, there is the possibility of a large variety of functional derangements, and when internal organs are involved symptoms may be very obscure.

It can be determined, however, by the application of the Wassermann test to the patient’s blood and perhaps to the cerebrospinal fluid, whether or not syphilitic infection persists in his body. Another common tertiary lesion is degeneration of arteries. There is a still further stage of syphilis, the quaternary, or parasyphilitic, in which the mischief affects the nervous system and may be represented by either of the two serious disorders known as locomotor ataxia and general paralysis of the insane. These developments of the disease are rare in women, however, in the natives of tropical countries of either sex.

Congenital form of the disease:

Parents who are syphilitic may transmit the disease to their offspring. This is described as hereditary, or congenital, syphilis. If the disease is active in the parents, the mother is likely to abort, or, at any rate, the child will probably be bom dead, but as time goes on and the virulence of parental infection lessens, live children may be got, sometimes with the marks of the disease on them, but often apparently healthy. In these the disease may manifest itself after a week or two, but possibly only years after. In course of time children free from any taint of the disease may be born.

Congenital syphilis may show itself a few weeks after birth by the development of nasal catarrh, described in this connection as snuffles. The inflammation within the nose may progress, and cause destruction of tissue, so that the bridge of the nose becomes flattened out. Fissures are apt to form in the skin around the nose and the angles of the neck, and leave permanent scars. The skin generally may become shriveled, and there may be great depression of the health. When the permanent teeth make their appearance, the upper central incisors may be peg-shaped, and have a notch cutout of the center of the cutting edge. Such are known as Hutchinson’s teeth, and are very characteristic of congenital syphilis. About this time also deafness may begin.

At puberty inflammation of the cornea of the eye may occur, and may ultimately cause blindness. It should be noted also that the nervous diseases described as parasyphilitic phenomena may occur in childhood in the subjects of congenital syphilis. A child who survives these earlier risks of the disease has a good chance of enjoying ordinary health, and such a person may marry without fear of transmitting the disease.

In its primary stage syphilis can be eradicated by treatment with organic arsenical compounds of the salvarsan class combined with mercury or bismuth, and very probably in the second stage also, although the treatment must be more thorough and more prolonged. Treatment in any case should last for at least two years. In addition to the drugs above mentioned, iodide of potassium is generally given, and this drug has a marked effect in curing the gummata of the third stage.

The adequacy of treatment is tested by examinations by the Wassermann method at intervals, and a patient should not neglect treatment until assured by his doctor that it is safe to do so, nor should he marry for two years after the termination of treatment, and only then if periodical tests have been negative. The same remedies are used in treating congenital syphilis as are used in the acquired disease. See: Paralysis.. Locomotor Ataxia..

Application and treatment:

This should be treated as any infectious disease. Although sores may be treated as suggested under Gonad, standard treatment regimen is recommended, via water pans, at intervals of 72 hours.

This is one of the many viral diseases in which firequency applications will typically provide complete and rapid cure followed by complete or substantial immunity.

In many cases this will also include the removal of the virus causing the person to be a carrier, however, this is not consistently true. Rapid cures are reported. Experienced frequency instrument users will usually not contract the disease if exposed, and this is seen in nearly all cases, and includes AIDS and gonorrhea.