[Question #4091] FINAL final follow-up to #3298

30 months ago
Hello Doctors,

Yes, I'm back again, but I really do feel like I'm close to the end of my journey now. My anxiety is decreasing significantly, although not fully gone.

I underwent an EIA blood test yesterday (48 days post-exposure) and it came back negative. No additional testing was completed because the screening EIA was negative.

The Doctor I spoke to said that additional testing would still be required at 3 months.

One thing that I have forgotten to mention throughout all of this is that two days post-exposure I attended a local clinic and explained my situation; the GP (rightly or wrongly) administered treatment for Gonorrhea+Chlamydia (1gm Azithromycin tablet + Ceftriaxone 500mg injection) as a preventative although I wasn't demonstrating any symptoms.

My questions are:

1. I understand from you both that my level of risk was  low in the first place, AND that I have been treated with penicillin, but regardless of that, how reliable is an EIA test considered 6-7 when it's weeks post-exposure?

2. Would the treatment I received for the Gonorrhea+Chlamydia have had any impact on syphilis, theoretically?

Thank you.
30 months ago
One other question sorry...considering the negative result, does this mean the rash I have experienced over the last week is NOT a syphilis rash?
Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
This is your 4th question regarding this exposure in the past 6 weeks.  Now, on this question you "forgot" to mention is receipt of antibiotics in addition to the penicillin shots you received  Thus you have been asking for advice while providing only partial information, not to mention the repetitive nature of your questions.  This is inappropriate and an abuse of this forum.  Answers will be brief.

1.  The results of the EIA test for syphilis at 48 days are conclusive.  BElieve them.
2.  Yes, the gonorrhea/chlamydia treatment you had would have also prevented development of syphilis
3.  With your test results you can be confident your rash last week was not syphilis.

EWH
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30 months ago
I'm very sorry for not providing that additional information earlier, Doctor. In hindsight it was more that I didn't even think it relevant to the topic of syphilis to mention it, but I can see now that that was clearly not the case and that it was not the best use of your time, to say the least. I have greatly appreciated your input, as well as that of Dr Handsfield. I very much want to believe my most recent test results and will endeavour to do so, working through my anxiety. Thank you again for your input.
Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
Thanks for your thanks. Our goal is to help those who need answers.  I'm pleased you found my responses helpful.  EWH
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